Organization
DIGESTIVE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRATHIBHA CHANDRASEKARAN M.D. (PRESIDENT)
(831) 728-1410
Entity
Organization
Contact information
Practice address
243 GREEN VALLEY RD, SUITE E, FREEDOM, CA 95019-3133
(831) 728-1410
(831) 728-2076
Mailing address
243 GREEN VALLEY RD, SUITE E, FREEDOM, CA 95019-3133
(831) 728-1410
(831) 728-2076
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
C55292
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8607001
—
NJ
Enumeration date
08/22/2008
Last updated
05/28/2013
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