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:
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Health care specialties

SpecialtyCodeLicense #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 3 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 1770651200 NPPES
Michigan MEDICAID 476636810
Michigan MEDICAID 500690117

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