Provider Demographics
NPI:1194807495
Name:CHANDIRAMANI, RAVI NANIK (ND)
Entity type:Individual
Prefix:DR
First Name:RAVI
Middle Name:NANIK
Last Name:CHANDIRAMANI
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10900 N SCOTTSDALE RD STE 609
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-5252
Mailing Address - Country:US
Mailing Address - Phone:480-667-6120
Mailing Address - Fax:480-667-6101
Practice Address - Street 1:10900 N SCOTTSDALE RD STE 609
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-5252
Practice Address - Country:US
Practice Address - Phone:480-667-6120
Practice Address - Fax:480-667-6101
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ03739207QA0401X
AZ03-739175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine