Ravi Chandran DMD PHD

NPI 1043496235 - Dentist - 1223S0112X

NPI Details
NPI 1043496235
Gender Male
Enumeration Date 01/17/2008
Last Updated 03/08/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
2500 N STATE ST
D216-06
JACKSON MS, 39216-4500, US
Phone (601) 984-6090
Fax (601) 984-4949
Business Location
2500 N STATE ST.
UNIVERSITY OF MISSISSIPPI MEDICAL CENTER, SOD
JACKSON MS, 39211, US
Phone (601) 984-6090
Fax (601) 984-4949
Toxanomy
Taxonomy Code 1223S0112X
License State Mississippi
License Number 3538-10
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According to our database, Dr. Ravi Chandran DMD PHD NPI is 1043496235, taxonomy code is 1223S0112X and license number is 3538-10, license state is located at Mississippi. Ravi Chandran DMD PHD physically located at 2500 N State St, Jackson MS, 39216-4500. NPI Number Ravi Chandran DMD PHD has the Individual type.

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1043496235 NPI number is provided on an as is basis without warranty of any kind. 1043496235 is maintained by the National Plan & Provider Enumeration System. The contents of Ravi Chandran DMD PHD are for informational purposes only.