Chandran, Prem K.G.

Chandran, Prem K.G. is an individual health care provider with primary practice located at 411 Laurel St, Suite 2350 , Des Moines IA 50314. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Chandran, Prem K.G. can be contacted via phone (515) 280-4700.

Contact Information

Primary practice address
411 Laurel St, Suite 2350 Des Moines IA 50314
Phone: (515) 280-4700
Fax: (515) 280-4701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 24158 Iowa

Profile Details

NPI number 1518969104
LBN Legal business name Chandran, Prem K.G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Jan 7th, 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 1518969104 NPPES
Iowa Other 1518969104 WELLMARK BCBS
Iowa Other P00329636 WELLMARK BCBS
Iowa Other 13649 WELLMARK BCBS
Iowa MEDICAID 1518969104 WELLMARK BCBS

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