CHIDAMBARANATHAN CHANDRASEKARAN

Dr CHIDAMBARANATHAN CHANDRASEKARAN is a male medical professional, specializing in Family Medicine. He graduated in 1973.

Contact

101 HOSPITAL RD
PATCHOGUE
NY
117724870

Tel: 6316547100

CHIDAMBARANATHAN CHANDRASEKARAN Information

Npi 1942367883
Pac Id 7810173499
Professional Enrollment Id I20110516000638
Last Name CHANDRASEKARAN
First Name CHIDAMBARANATHAN
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1973
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1 GENERAL SURGERY
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties GENERAL SURGERY
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 101 HOSPITAL RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City PATCHOGUE
State NY
Zip Code 117724870
Phone Number 6316547100
Hospital Affiliation Ccn 1 330141
Hospital Affiliation Lbn 1 BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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