NPIMap

Organization Active NPI

Shobha Chidambaram, MD, PC

  • Neurology Physician
  • Alexandria, VA
National Provider Identifier
1083919047
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
D0029744 Issued in MD
Legal business name
SHOBHA CHIDAMBARAM, MD, PC
Practice address
1406 Greenwood PL
Alexandria, VA 22304-1604
Phone
(301) 839-1590
NPI assigned
Jan 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Authorized official

Name
Dr. Shobha I Chidambaram, M.D.NPI 1225085970
Title
C.E.O
Phone
(301) 839-1590

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X D0029744 MD Primary

Addresses

Primary practice location

1406 Greenwood PL
Alexandria, VA 22304-1604

Mailing address

6196 Oxon Hill Rd
Suite 220
Oxon Hill, MD 20745-3100
Phone (301) 839-1590

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295568000000",
    "number": "1083919047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6196 OXON HILL RD",
            "address_2": "SUITE 220",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453100",
            "telephone_number": "301-839-1590",
            "fax_number": "301-839-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 GREENWOOD PL",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041604",
            "telephone_number": "301-839-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOBHA CHIDAMBARAM, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-01-21",
        "status": "A",
        "authorized_official_last_name": "CHIDAMBARAM",
        "authorized_official_first_name": "SHOBHA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "301-839-1590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D0029744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.