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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326237322 | NPPES |
| Georgia | MEDICAID | 00626117A | |
| Georgia | Other | 617437 | |
| Georgia | Other | 0400005 |
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