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Individual

CHITTUR VISWANATHAN RAMANATHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
315 GOLDER AVE, SUITE B, ODESSA, TX 79761-5043
(432) 640-1878
(432) 640-1875
Mailing address
PO BOX 2129, ODESSA, TX 79760-2129
(432) 640-1878
(432) 640-1875

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E9346
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
135156109
TX
Enumeration date
09/27/2005
Last updated
01/10/2013
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