Chandrasekaran, Charukesi
Chandrasekaran, Charukesi is an individual health care provider with primary practice located at 4450 Highland Ave , Beaumont TX 77705-5205. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Chandrasekaran, Charukesi can be contacted via phone (713) 351-7360.Contact Information
Primary practice address
4450 Highland Ave
Beaumont TX 77705-5205
Phone: (713) 351-7360
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | Q2263 | Texas |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | Q2263 | Texas |
Profile Details
| NPI number | 1508173170 |
|---|---|
| LBN Legal business name | Chandrasekaran, Charukesi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2010 |
| Last updated | Sep 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508173170 | NPPES |
| Texas | Other | 7471809 | LEGACY SITE SPECIFIC MEDICARE # |
| Texas | Other | 080462703 | LEGACY SITE SPECIFIC MEDICARE # |
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