Individual
PADUBIDRI S CHANDRASHEKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
107 MEDICAL PLAZA LN, WHITESBURG, KY 41858-7428
(606) 633-7355
(606) 633-6325
Mailing address
PO BOX 432, PIKEVILLE, KY 41502-0432
(606) 633-7355
(606) 633-6325
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
29202
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29202
KY LICENSE NUMBER
KY
05
—
64092026
—
KY
Enumeration date
09/20/2005
Last updated
08/13/2024
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