Canagaretnam Chandradas, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A051625 Issued in CA

Practice address

44900 60TH St W
Lancaster, CA 93536-7618

Phone

(661) 948-8581

Fax

(661) 945-8474

NPI assigned

Feb 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093840936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44900 60TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935367618",
            "telephone_number": "661-948-8581",
            "fax_number": "661-945-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44900 60TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935367618",
            "telephone_number": "661-948-8581",
            "fax_number": "661-945-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRADAS",
        "first_name": "CANAGARETNAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A051625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.