Ravi Chandran in Tucker - Oral And Maxillofacial Surgery
Ravi Chandran - NPI 1043496235
Ravi Chandran is a Oral And Maxillofacial Surgery in Tucker, Georgia. Ravi Chandran practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Ravi Chandran is 1043496235. The last update date is 2023-12-07.
Ravi Chandran's current location address is 4915 Lavista Rd, Tucker, Georgia. You can contact this provider via phone number 7709341907 and fax number 7704934900. The mailing address for Ravi Chandran is 4915 Lavista Rd, Tucker, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ravi Chandran |
|---|---|
| Address | 4915 Lavista Rd, Tucker, Georgia |
| Phone Number | 7709341907 |
| Fax Number | 7704934900 |
| Sole Proprietor | Y |
| Credentials | DMD PHD |
NPI Number Detail
| NPI Number | 1043496235 |
|---|---|
| Provider Enumeration Date | 2008-01-17 |
| Last Updated Date | 2023-12-07 |
Provider Mailing Address Detail
| Address | 4915 Lavista Rd |
|---|---|
| City | Tucker |
| State | Georgia (GA) |
| Post Code | 300848520 |
| Phone Number | 7709341907 |
| Fax Number | 7704934900 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 3538-10 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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What is the Ravi Chandran's 1043496235?
The Ravi Chandran's NPI (National Provider Identifier) Number is 1043496235. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Ravi Chandran located?
The Ravi Chandran is located at 4915 Lavista Rd, Tucker, GA 300848520.
What is the area of specialization for Ravi Chandran, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ravi Chandran is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 1223S0112X.
On what date did the Ravi Chandran receive its 1043496235 assignment from the Centers for Medicare & Medicaid Services?
The Ravi Chandran was assigned its 1043496235 by the Centers for Medicare & Medicaid Services on 2008-01-17.
As of what date were the Ravi Chandran's details last updated?
The information pertaining to the Ravi Chandran, including its address, specialty, and other details, was most recently updated on 2023-12-07.
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