Individual
RAVI KUMAR CHANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8100
Mailing address
2650 RIDGE AVE., IM HOSPITALISTS STE 4210, EVANSTON, IL 60201
(847) 570-1010
(847) 733-5108
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036152011
IL
207R00000X
Internal Medicine Physician
67691-20
WI
208M00000X
Hospitalist Physician
Primary
036152011
IL
208M00000X
Hospitalist Physician
67691
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
STUDENT HEALTH CARE
IL
Enumeration date
05/06/2014
Last updated
07/21/2022
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