Amaram, Chandrakanth

Amaram, Chandrakanth is an individual health care provider with primary practice located at 302 Uvalda St , Waycross GA 31501-4551. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Amaram, Chandrakanth can be contacted via phone (912) 285-2519.

Contact Information

Primary practice address
302 Uvalda St Waycross GA 31501-4551
Phone: (912) 285-2519
Fax: (912) 284-2482
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 043158 Georgia
Allopathic & Osteopathic Physicians / General Practice 208D00000X 043158 Georgia

Profile Details

NPI number 1992730881
LBN Legal business name Amaram, Chandrakanth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jun 24th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992730881 NPPES
Georgia MEDICAID 000804372D
Georgia MEDICAID 000804372A
Georgia MEDICAID 000804372E

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