Individual
ARVIND CHANDRASHEKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5914
Mailing address
877 JEFFERSON AVENUE, ATTN: PROVIDER ENROLLMENT, MEMPHIS, TN 38103-2807
(901) 545-6286
(901) 545-8122
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
60719
TN
207L00000X
Anesthesiology Physician
959-L
MS
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
60719
TN
Other
Enumeration date
07/10/2015
Last updated
06/04/2020
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