Chandrashekar Medical Corporation
Organization Active NPI Nephrology Physician · Indio, CA
NPI 1124102314 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1124102314
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nephrology Physician 207RN0300X
- Legal business name
- CHANDRASHEKAR MEDICAL CORPORATION
- Practice address
- 81-715 Dr. Carreon Blvd
Ste B2
Indio, CA 92201 - Phone
- (760) 347-8181
- Fax
- (760) 775-2899
- NPI assigned
- Oct 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Sue Shinn
- Title
- Office Manager
- Phone
- (760) 342-8898
Practitioners 6
-
Javed Ahmad, MD
-
Irisa Claire Aligada, AGPCNP
-
Assad U Darawal, MD
-
Zarah Bautista Fernandez, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician |
207RN0300X | Yes |
Addresses
Primary practice location
81-715 Dr. Carreon Blvd
Ste B2
Indio, CA 92201
Mailing address
81-719 Dr. Carreon Blvd
Ste 2a
Indio, CA 92201-5518
Phone (760) 342-8898
NPI Registry JSON
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1124102314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81-719 DR. CARREON BLVD",
"address_2": "STE 2A",
"city": "INDIO",
"state": "CA",
"postal_code": "922015518",
"telephone_number": "760-342-8898",
"fax_number": "760-342-9457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81-715 DR. CARREON BLVD",
"address_2": "STE B2",
"city": "INDIO",
"state": "CA",
"postal_code": "92201",
"telephone_number": "760-347-8181",
"fax_number": "760-775-2899"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHANDRASHEKAR MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SHINN",
"authorized_official_first_name": "SUE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "760-342-8898"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indio, CA
- Kenneth Charles Chadwick Jr.
- Lency Annette Chaidez
- Sharon Gisell Chajon Gatica
- MC Michael Balsamo Chan
- Randy Chan
- Jambur Eriah Chandrashekar
- Narendra Shashibushan Chandrashekar
- Charles Kim MD Inc
- Maria Guadalupe Chavez-Brown
- Jazmin Chavez
All providers in Indio, CA · Nephrology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.