Individual
OMAR RICARDO CHAVEZ-RAMONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9220 CARRIAGE LN, OOLTEWAH, TN 37363-8954
(423) 771-7205
Mailing address
9220 CARRIAGE LN, OOLTEWAH, TN 37363-8954
(423) 771-7205
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
43816
AR
207R00000X
Internal Medicine Physician
Primary
43816
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1526299
—
TN
Enumeration date
04/02/2007
Last updated
01/28/2019
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