Chandrasekaran, Shivanandh

Chandrasekaran, Shivanandh is an individual health care provider with primary practice located at 5401 Old York Rd Ste 331 , Philadelphia PA 19141-3045. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Chandrasekaran, Shivanandh can be contacted via phone (215) 456-8220.

Contact Information

Primary practice address
5401 Old York Rd Ste 331 Philadelphia PA 19141-3045
Phone: (215) 456-8220
Fax: (215) 456-5820
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD423755 Pennsylvania

Profile Details

NPI number 1205824109
LBN Legal business name Chandrasekaran, Shivanandh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Jul 21st, 2022 - about 4 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 1205824109 NPPES
Pennsylvania MEDICAID 1011700900001

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