| Jeevaratnam S Chandra, MD | |
|
310 Gaslight Blvd, Lufkin, TX 75904-3133 | |
| (936) 632-8787 | |
| (936) 632-8832 |
| Full Name | Jeevaratnam S Chandra |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 310 Gaslight Blvd, Lufkin, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649256322 | NPI | - | NPPES |
| 128236002 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G4097 (Texas) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | G4097 (Texas) | Primary |
| Entity Name | Baylor St Lukes Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740485879 PECOS PAC ID: 9133213192 Enrollment ID: O20070920000863 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeevaratnam S Chandra, MD 310 Gaslight Blvd, Lufkin, TX 75904-3133 Ph: (936) 632-8787 | Jeevaratnam S Chandra, MD 310 Gaslight Blvd, Lufkin, TX 75904-3133 Ph: (936) 632-8787 |
Ravinder R Bachireddy, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 310 Gaslight Blvd, Lufkin, TX 75904 Phone: 936-632-8787 Fax: 936-632-8832 | |
Dr. Vivek Menon, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 310 Gaslight Blvd, Lufkin, TX 75904 Phone: 936-632-8787 | |
Sean Moran, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1111 W Frank Ave, Suite 100, Lufkin, TX 75904 Phone: 936-639-2244 | |
Kyle G Krohn, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 10 Medical Center Blvd, Suite E, Lufkin, TX 75904 Phone: 936-632-8220 Fax: 936-632-8230 | |
Juan Antonio Hernandez, M.D Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 232 N John Redditt Dr Ste B, Lufkin, TX 75904 Phone: 936-634-7225 Fax: 936-639-4549 | |
Kevin L Hudson, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 310 Gaslight Blvd, Lufkin, TX 75904 Phone: 936-632-8787 Fax: 936-632-8832 | |
Dr. Jacob Mannoor Thomas, M.D., Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 818 W Frank Ave, Lufkin, TX 75904 Phone: 936-639-6210 Fax: 936-639-2298 |