Aravind Chandra, | |
265 Griffin St E, Amery, WI 54001-1439 | |
(715) 268-8000 | |
Not Available |
Full Name | Aravind Chandra |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 10 Years |
Location | 265 Griffin St E, Amery, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255742466 | NPI | - | NPPES |
BP10049445 | Other | TX | BP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 67829-20 (Wisconsin) | Secondary |
207R00000X | Internal Medicine | MD184823 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence St Vincent Medical Center | Portland, OR | Hospital |
Tuality Community Hospital | Hillsboro, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services Oregon | 0648183608 | 1344 |
Tuality Medical Group Llc | 7416173414 | 239 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003991845 PECOS PAC ID: 5395656284 Enrollment ID: O20031113000626 |
Entity Name | Legacy Clinics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093976243 PECOS PAC ID: 3476450560 Enrollment ID: O20031217000186 |
Entity Name | Tuality Healthcare |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275591984 PECOS PAC ID: 3678486107 Enrollment ID: O20040130000359 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568547503 PECOS PAC ID: 5294623245 Enrollment ID: O20040310000315 |
Entity Name | University Professional Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013 |
Entity Name | Tuality Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073929782 PECOS PAC ID: 7416173414 Enrollment ID: O20140729000238 |
Mailing Address | Practice Location Address |
---|---|
Aravind Chandra, Providence Portland Medical Center, 4805 Ne Glisan Street, Portland, OR 97213 Ph: () - | Aravind Chandra, 265 Griffin St E, Amery, WI 54001-1439 Ph: (715) 268-8000 |