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Individual

RAVI THEETHAKARAI CHANDRAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1951 N WILMOT RD BLDG 4, TUCSON, AZ 85712-8001
(520) 318-1114
Mailing address
1951 N WILMOT RD BLDG 4, TUCSON, AZ 85712-8001
(520) 318-1114
(520) 318-4693

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
23128
SC
207RP1001X
Pulmonary Disease Physician
Primary
72622
AZ
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
23128
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
187323
AZ
05
231289
SC
Enumeration date
05/19/2006
Last updated
03/19/2025
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