Organization
B. V. CHANDRAMOULI, M..D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
B V CHANDRAMOULI M.D. (PRESIDENT)
(530) 244-4471
Entity
Organization
Contact information
Practice address
1555 EAST ST, SUITE 100, REDDING, CA 96001-1153
(530) 244-4471
(530) 244-1407
Mailing address
1555 EAST ST, SUITE 100, REDDING, CA 96001-1153
(530) 244-4471
(530) 244-1407
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
00A521990
CA
207UN0901X
Nuclear Cardiology Physician
00A521990
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060070712
RAILROAD MEDICARE
CA
Enumeration date
11/01/2007
Last updated
07/17/2012
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