MEDICARE: ASWATHI CHANDRAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	71607	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578948956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASWATHI CHANDRAN MD

Provider Business Mailing Address
First Line	:	ONE GI CREDENTIALING DEPARTMENT
Second Line	:	PO BOX 381468
City	:	GERMANTOWN
State	:	TN
Zip	:	38183
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5653 FRIST BLVD
Second Line	:
City	:	HERMITAGE
State	:	TN
Zip	:	37076-2062
Country	:	US
Telephone Number	:	615-885-1093
Fax Number	:	615-885-1110

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2015
Last Update Date	:	02/05/2026

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Directions to “ ASWATHI CHANDRAN MD” Practice Location

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