Provider Demographics
NPI:1700963246
Name:CHEST PHYSICIANS INC.
Entity type:Organization
Organization Name:CHEST PHYSICIANS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHOK
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMADUGU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-233-8181
Mailing Address - Street 1:661 E RIVER ST
Mailing Address - Street 2:SUITE B AND C
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035-5901
Mailing Address - Country:US
Mailing Address - Phone:440-233-8181
Mailing Address - Fax:440-233-8182
Practice Address - Street 1:661 E RIVER ST
Practice Address - Street 2:SUITE B AND C
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-5901
Practice Address - Country:US
Practice Address - Phone:440-233-8181
Practice Address - Fax:440-233-8182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35070784207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2815396Medicaid
OH0621769Medicaid
OH0621769Medicaid
OH0820512Medicare ID - Type UnspecifiedMEDICARE