Individual provider · NPI-1

Dr. Jambur Eriah Chandrashekar, M.D.

Internal Medicine · Indio, CA

NPI number1013098557
StatusActive
Last updated in NPPESAug 6, 2018

Details

NPI
1013098557
Entity type
Individual (NPI-1)
Name
Dr. Jambur Eriah Chandrashekar
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 18, 2006
Last updated
Aug 6, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineA33785CAYes
207RN0300X Internal Medicine, NephrologyA33785CA

Practice location

81719 Dr. Carreon Blvd
Ste A
Indio, CA 92201

Phone 760-347-0707 · Fax 760-347-3378

Mailing address

81719 Dr. Carreon Blvd
Ste 2a
Indio, CA 92201-5518

Phone 760-342-8898 · Fax 760-342-9457

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