Individual
CHANDRASEKAR VAIDYANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2055 HOSPITAL DR, SUITE 300, BATAVIA, OH 45103-1978
(513) 732-0663
(513) 732-1232
Mailing address
2055 HOSPITAL DR, SUITE 300, BATAVIA, OH 45103-1978
(513) 732-0663
(513) 732-1232
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-07-0962V
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000216575
ANTHEM
OH
01
—
0403552
UNITED HEALTHCARE
—
05
—
0422493
—
OH
01
—
110235460
RAILROAD MEDICARE
—
01
—
311715108032
CARESOURCE
OH
01
—
478030
PHCS
—
01
—
5864282
AETNA
—
01
—
70962
HUMANA
OH
Enumeration date
08/11/2005
Last updated
06/05/2012
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