| Organization Name: | DRS CHANDRAKANTH & NIRMALA AMARAM |
| NPI Number: | 1902928526 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHANDRAKANTH AMARAM (MD) |
| Mailing Address: | 302 Uvalda St Waycross |
| State: | GA US |
| Postal Code: | 315014551 |
| Phone Number: | 9122852519 |
| Fax Number: | 9122842482 |
| NPI Enumeration Date: | 04/04/2007 |
| NPI Last Update Date: | 06/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 159002 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |