Raghavan, Chidambaram

Raghavan, Chidambaram is an individual health care provider with primary practice located at 5041 Dallas Hwy Bldg 2 Suite E, Powder Springs GA 30127-6458. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Raghavan, Chidambaram can be contacted via phone (770) 218-1880.

Contact Information

Primary practice address
5041 Dallas Hwy Bldg 2 Suite E Powder Springs GA 30127-6458
Phone: (770) 218-1880
Fax: (770) 218-1088
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 38709 Georgia

Profile Details

NPI number 1326237322
LBN Legal business name Raghavan, Chidambaram
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2007
Last updated Oct 16th, 2007 - about 19 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 1326237322 NPPES
Georgia MEDICAID 00626117A
Georgia Other 617437
Georgia Other 0400005

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