Individual
B V CHANDRAMOULI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1555 EAST ST, STE 100, REDDING, CA 96001
(530) 244-4477
(530) 244-1407
Mailing address
1555 EAST ST, STE 100, REDDING, CA 96001
(530) 244-4477
(530) 244-1407
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
00A521990
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A521990
—
CA
01
—
060070712
RAILROAD
CA
Enumeration date
08/18/2006
Last updated
01/13/2010
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