Provider Demographics
NPI:1144285099
Name:RAMAIAH, CHANDRASHEKHAR (MD)
Entity type:Individual
Prefix:
First Name:CHANDRASHEKHAR
Middle Name:
Last Name:RAMAIAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:CHAND
Other - Middle Name:
Other - Last Name:RAMAIAH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:300 20TH AVE N
Mailing Address - Street 2:STE 403
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-5180
Mailing Address - Country:US
Mailing Address - Phone:615-284-7211
Mailing Address - Fax:
Practice Address - Street 1:4230 HARDING PIKE
Practice Address - Street 2:SUITE 430
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2013
Practice Address - Country:US
Practice Address - Phone:615-385-4781
Practice Address - Fax:615-385-9265
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY32138208G00000X
TN49240208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64036536Medicaid
TNP01125852OtherRR MEDICARE
TN1530810Medicaid
TN103I339615Medicare PIN
H09038Medicare UPIN
KY64036536Medicaid