Provider Demographics
NPI:1972798833
Name:CHAMBERS, TERRENCE MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:TERRENCE
Middle Name:MICHAEL
Last Name:CHAMBERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:350 W COLUMBIA ST STE 420
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47710-1782
Mailing Address - Country:US
Mailing Address - Phone:812-422-3254
Mailing Address - Fax:812-426-6388
Practice Address - Street 1:350 W COLUMBIA ST STE 420
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47710-1782
Practice Address - Country:US
Practice Address - Phone:812-422-3254
Practice Address - Fax:812-426-6388
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-12
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361270492085R0202X
MO20110079952085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL00Medicaid
P00785181OtherRAILROAD MEDICARE
IN300098128Medicaid
KY7100902740Medicaid