Individual
DR. SRINIVASA RAMA CHANDRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, DDS, FDSRCS
Contact information
Practice address
325 9TH AVE, 4 WEST CLINIC, BOX-359893,, SEATTLE, WA 98104-2420
(206) 744-3224
(206) 744-2810
Mailing address
325 9TH AVE, 4 WEST CLINIC, BOX-359893,, SEATTLE, WA 98104-2420
(206) 744-3224
(206) 744-2810
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
60478567
WA
282NC0060X
Critical Access Hospital
60478567
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2009
Last updated
10/30/2014
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