Provider Demographics
NPI:1528086295
Name:RAMACHANDRAN, PRADEEP (MD)
Entity type:Individual
Prefix:
First Name:PRADEEP
Middle Name:
Last Name:RAMACHANDRAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 TELLURIDE TRL
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-1853
Mailing Address - Country:US
Mailing Address - Phone:919-951-7778
Mailing Address - Fax:833-499-1775
Practice Address - Street 1:108 TELLURIDE TRL
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-1853
Practice Address - Country:US
Practice Address - Phone:919-951-7778
Practice Address - Fax:833-499-1775
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301077728207R00000X, 207RC0200X, 207RP1001X
NE23317207R00000X
NC2016-01002207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1102514102OtherBCBS OF MICHIGAN
NE250403OtherMIDLAND'S CHOICE
NE89-00080OtherUHC
MI01011724OtherHEALTH PLUS OF MICHIGAN
IA0718064Medicaid
NE470780857 23Medicaid
NE470780857 23Medicaid
MI1102514102OtherBCBS OF MICHIGAN
MIM43260009Medicare PIN