Active NPI
Thongadi R Chandrahasa, MD
- Pulmonary Disease Physician
- Port Charlotte, FL
National Provider Identifier
1992786594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME32635
- Practice address
- 3400 Tamiami TRL
Suite 201
Port Charlotte, FL 33952-8102 - Phone
- (941) 743-2277
- Fax
- (941) 743-2275
- NPI assigned
- Nov 10, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | ME32635 | FL | |
| Pulmonary Disease Physician | 207RP1001X | ME32635 | FL | Primary |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | ME32635 | FL |
Addresses
Primary practice location
3400 Tamiami TRL
Suite 201
Port Charlotte, FL 33952-8102
Mailing address
PO Box 496498
Port Charlotte, FL 33949-6498
Phone (941) 743-2277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME32635 | FL | MD | Geriatric Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204675200000",
"number": "1992786594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 496498",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339496498",
"telephone_number": "941-743-2277",
"fax_number": "941-743-2275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 TAMIAMI TRL",
"address_2": "SUITE 201",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339528102",
"telephone_number": "941-743-2277",
"fax_number": "941-743-2275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDRAHASA",
"first_name": "THONGADI",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-10",
"last_updated": "2008-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "FL",
"license": "ME32635",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME32635",
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "FL",
"license": "ME32635",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.