Chandra B Dommaraju (NPI# 1255361135, PAC ID# 7315963741) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INFECTIOUS DISEASE.
| Nation Provider ID (NPI) | 1255361135 |
| PAC ID by PECOS | 7315963741 |
| Professional Enrollment ID | I20051017000191 |
| Full Name | Chandra B Dommaraju |
| Address |
1400 Hwy 61 240b Festus MO 63028 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1988 |
| Primary Specialty | INFECTIOUS DISEASE |
| Secondary Specialties | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260023 | MERCY HOSPITAL JEFFERSON |
| Address | Phone | Organization |
|---|---|---|
| 1400 Hwy 61 240b, Festus, MO 63028 |
| Street Address |
1400 HWY 61 240B |
| City | FESTUS |
| State | MO |
| Zip | 63028 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah L Jensen | Dermatology | 1463 Hwy 61 B, Festus, MO 63028 | |
| Robert J Evens | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 1400 Hwy 61 S, Festus, MO 63028 |
| Paul H Wang | Psychologist, Clinical | 1400 Hwy 61 S, Festus, MO 63028 | |
| Kevin T Baumgartner | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 1400 Hwy 61 S, Festus, MO 63028 |
| Phillip J Ward | Physical Therapy | Central Missouri Physical Therapy LLC | 1405 N Truman Blvd, Festus, MO 63028-1177 |
| Ashley P Schwendeman | Physical Therapy | Central Missouri Physical Therapy LLC | 1405 N Truman Blvd, Festus, MO 63028-1177 |
| Mindy Kay Wortmann | Nurse Practitioner | Interventional Pain Institute, LLC | 1405 N Truman Blvd, Festus, MO 63028-1177 |
| Steven A Harvey | Psychiatry | 23 N 6th St, My Place Residential Facility, Festus, MO 63028-1301 | |
| William W Clendenin | Psychiatry | 705 Moore St, Festus, MO 63028-1339 | |
| Richard C Mcgraw | Clinical Social Worker | 1598 Saint Marys Ln, Festus, MO 63028-1543 | |
| Find all physicians in zip 63028 | |||
| City | FESTUS |
| Zip Code | 63028 |
| Specialty | INFECTIOUS DISEASE |
| City + Specialty | FESTUS + INFECTIOUS DISEASE |
Please comment or provide details below to improve the information on Chandra B Dommaraju.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.