V. Raja Chandra, Md Pc | |
519 8th St Rawlins WY 82301-5460 | |
(307) 324-2294 | |
(307) 328-1964 |
Full Name | V. Raja Chandra, Md Pc |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 519 8th St, Rawlins, Wyoming |
Authorized Official Name and Position | Venkataperumal R Chandrasekaran (OWNER) |
Authorized Official Contact | 3073242294 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
V. Raja Chandra, Md Pc 519 8th St Po Box 1768 Rawlins WY 82301-5460 Ph: (307) 324-2294 | V. Raja Chandra, Md Pc 519 8th St Rawlins WY 82301-5460 Ph: (307) 324-2294 |
NPI Number | 1043548019 |
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Provider Enumeration Date | 12/02/2009 |
Last Update Date | 12/02/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043548019 | NPI | - | NPPES |
760011087 | Other | WY | RAILROAD MEDICARE |
00072001 | Other | WY | BCBS |
106489400 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 2812A (Wyoming) | Primary |
The Meadowlark Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1016 W Spruce St Unit A, Rawlins, WY 82301 Phone: 307-328-5595 Fax: 307-328-5561 | |
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