Basic Information
| Provider Information | |||||||||
| NPI: | 1134233851 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CHANDRASEKHAR | ||||||||
| FirstName: | JAYARAMAN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 20324 | ||||||||
| Address2: | |||||||||
| City: | BAKERSFIELD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 933900324 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6613271352 | ||||||||
| FaxNumber: | 6617044238 | ||||||||
| Practice Location | |||||||||
| Address1: | 6001 TRUXTUN AVE | ||||||||
| Address2: | SUITE 120A | ||||||||
| City: | BAKERSFIELD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 933090679 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6613271352 | ||||||||
| FaxNumber: | 6617044238 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/18/2006 | ||||||||
| LastUpdateDate: | 12/16/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RP1001X | A89686 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
No ID Information.