V. Raja Chandra, MD PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

2812A Issued in WY

Legal business name

V. RAJA CHANDRA, MD PC

Practice address

519 8TH St
Rawlins, WY 82301-5460

Phone

(307) 324-2294

Fax

(307) 328-1964

NPI assigned

Dec 2, 2009

Last updated

Dec 2, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Venkataperumal R Chandrasekaran, MD

Title

Owner

Phone

(307) 324-2294

Specialties & licenses 1

Addresses

Other identifiers 3

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259712000000",
    "number": "1043548019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 8TH ST",
            "address_2": "PO BOX 1768",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823015460",
            "telephone_number": "307-324-2294",
            "fax_number": "307-328-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 8TH ST",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823015460",
            "telephone_number": "307-324-2294",
            "fax_number": "307-328-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V. RAJA CHANDRA, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-02",
        "last_updated": "2009-12-02",
        "status": "A",
        "authorized_official_last_name": "CHANDRASEKARAN",
        "authorized_official_first_name": "VENKATAPERUMAL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-324-2294",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WY",
            "license": "2812A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "760011087",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00072001",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106489400",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chanel Marie Thrasher, FNP-C
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• Versatile Services/Rawlins Thrift Exploratory Group (Versatile Services)
• Alexandra Megan Vigliarolo, DPT
• Rod F Waeckerlin, RPH

• Primary Care Clinic/Center in Rawlins, WY
• Providers in Rawlins, WY by specialty
• Primary Care Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.