Chandra, Jeevaratnam S
Chandra, Jeevaratnam S is an individual health care provider with primary practice located at 310 Gaslight Blvd , Lufkin TX 75904-3133. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Chandra, Jeevaratnam S can be contacted via phone (936) 632-8787.Contact Information
Primary practice address
310 Gaslight Blvd
Lufkin TX 75904-3133
Phone: (936) 632-8787
Fax: (936) 632-8832
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G4097 | Texas |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | G4097 | Texas |
Profile Details
| NPI number | 1649256322 |
|---|---|
| LBN Legal business name | Chandra, Jeevaratnam S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2005 |
| Last updated | Nov 14th, 2022 - about 2 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 | 1649256322 | NPPES |
| Texas | MEDICAID | 128236002 |
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