Individual
DR. VENKATARAMAN PREM CHANDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
6001 LANDOVER RD, CHEVERLY, MD 20785-1143
(301) 773-1111
(301) 773-7869
Mailing address
6001 LANDOVER RD, CHEVERLY, MD 20785-1143
(301) 773-1111
(301) 773-7869
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0016380
MD
207RG0100X
Gastroenterology Physician
Primary
D0016380
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45104
MDIPA
MD
01
—
52786601
CAREFIRST MD
MD
01
—
B7010001
CAREFIRST BCBS
DC
Enumeration date
08/02/2005
Last updated
12/13/2007
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