Individual
DR. RAMA KRISHNA REDDY CHANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 W 15TH ST, LIBERAL, KS 67901-2455
(620) 629-6477
(620) 629-6651
Mailing address
PO BOX 1215, ATTN: CLINIC BILLING OFFICE, LIBERAL, KS 67905-1215
(620) 629-6638
(620) 629-6684
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
28807
OK
208M00000X
Hospitalist Physician
Primary
04-37609
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200520330B
—
OK
05
—
201127580A
—
KS
Enumeration date
10/06/2011
Last updated
03/08/2017
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