Individual
DONN RANDOLPH CHATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
01034016
IN
207YS0123X
Facial Plastic Surgery Physician
23772
KY
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
01034016
IN
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
23772
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000323054
ANTHEM PIN #
—
05
—
100116140A
—
IN
01
—
1336238591
NPI CHATHAM FACIAL PLASTI
—
01
—
DB7559
RAILROAD MEDICARE GROUP
IN
01
—
DC6172
RAILROAD MEDICARE GROUP
KY
01
—
P00125999
RAILROAD MEDICARE PIN
IN
01
—
P00180026
RAILROAD MEDICARE PIN
KY
Enumeration date
12/31/2006
Last updated
06/17/2008
Update your record
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