Polam, Chandra R
Polam, Chandra R is an sole proprietor health care provider with primary practice located at 121 Freeport Rd Ste 200 , Blawnox PA 15238-3485. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Polam, Chandra R can be contacted via phone (412) 784-7180.Contact Information
Primary practice address
121 Freeport Rd Ste 200
Blawnox PA 15238-3485
Phone: (412) 784-7180
Fax: (412) 784-7185
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | MD038348L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD038348L | Pennsylvania |
Profile Details
| NPI number | 1871552232 |
|---|---|
| LBN Legal business name | Polam, Chandra R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Mar 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871552232 | NPPES |
| West Virginia | MEDICAID | 0211079000 | |
| West Virginia | MEDICAID | 000915209 | |
| West Virginia | MEDICAID | 000915209004 | |
| West Virginia | MEDICAID | 0800020 |
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