Basic Information
| Provider Information | |||||||||
| NPI: | 1952351603 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHARI | ||||||||
| FirstName: | RAMCHANDER | ||||||||
| MiddleName: | K | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10504 CHAMPIONSHIP CT | ||||||||
| Address2: | |||||||||
| City: | PROSPECT | ||||||||
| State: | KY | ||||||||
| PostalCode: | 400597506 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5022130490 | ||||||||
| FaxNumber: | 0000000000 | ||||||||
| Practice Location | |||||||||
| Address1: | 200 ABRAHAM FLEXNER WAY | ||||||||
| Address2: | |||||||||
| City: | LOUISVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 402021818 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5025874203 | ||||||||
| FaxNumber: | 5025874155 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/12/2006 | ||||||||
| LastUpdateDate: | 11/01/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207LC0200X | 38605 | KY | N | Allopathic & Osteopathic Physicians | Anesthesiology | Critical Care Medicine | 207L00000X | 38605 | KY | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
ID Information
| ID | Type | State | Issuer | Description | 200897500 | 05 | IN | MEDICAID | 7100052120 | 05 | KY | MEDICAID |