Chandler Primary Care PLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

29426 Issued in AZ

Legal business name

CHANDLER PRIMARY CARE PLC

Practice address

5950 S Cooper Rd Ste 4
Chandler, AZ 85249-2221

Phone

(480) 895-3777

Fax

(480) 895-3731

NPI assigned

May 29, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Rama Devineni, MD

Title

Owner

Phone

(480) 321-7156

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1467831982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 S COOPER RD STE 4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852492221",
            "telephone_number": "480-895-3777",
            "fax_number": "480-895-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 S COOPER RD STE 4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852492221",
            "telephone_number": "480-895-3777",
            "fax_number": "480-895-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDLER PRIMARY CARE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-29",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "DEVINENI",
        "authorized_official_first_name": "RAMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-321-7156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "29426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chandler Procedure Center, PLC
• Chandler Radiology Associates LLC
• Chandler Ray 1 LLC
• Chandler Regional Medical Center
• Chandler Surgery Center LLC

• Internal Medicine Physician in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; 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.