Individual
ASHA R RAMACHANDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3241 S MICHIGAN AVE, CHICAGO, IL 60616-4201
(312) 949-7770
(312) 949-7742
Mailing address
3241 S MICHIGAN AVE, CHICAGO, IL 60616-4201
(312) 949-7770
(312) 949-7742
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M1302
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177989401
—
TX
05
—
177989402
—
TX
Enumeration date
11/22/2005
Last updated
10/16/2012
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