Chidambaram, Palaniappan
Chidambaram, Palaniappan is an individual health care provider with primary practice located at 5251 Ne Glisan St Bldg A, 2Nd Floor, Portland OR 97213-3052. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Chidambaram, Palaniappan can be contacted via phone (503) 215-4860.Contact Information
Primary practice address
5251 Ne Glisan St Bldg A, 2Nd Floor
Portland OR 97213-3052
Phone: (503) 215-4860
Fax: (503) 215-4839
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301081783 | Michigan |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | MD173966 | Oregon |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD173966 | Oregon |
Profile Details
| NPI number | 1770651200 |
|---|---|
| LBN Legal business name | Chidambaram, Palaniappan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Feb 19th, 2021 - about 5 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 | 1770651200 | NPPES |
| Michigan | MEDICAID | 476636810 | |
| Michigan | MEDICAID | 500690117 |
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