MEDICARE: VIKRAM K CHAND 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	207RX0202X	Medical Oncology Physician	36477	WI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00354731	OTHER	VA	RAILROAD MEDICARE
2	011413O26	OTHER	VA	MEDICARE VA

Other Identifiers

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

General Provider Information

NPI Number	:	1659376986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIKRAM K CHAND MD

Provider Business Mailing Address
First Line	:	2013 JEFFERSON ST SW
Second Line	:	SECOND FLOOR
City	:	ROANOKE
State	:	VA
Zip	:	24014-2419
Country	:	US
Telephone Number	:	540-982-0237
Fax Number	:	540-982-0103

Provider Business Practice Location Address
First Line	:	2013 JEFFERSON ST SW
Second Line	:	SECOND FLOOR
City	:	ROANOKE
State	:	VA
Zip	:	24014-2419
Country	:	US
Telephone Number	:	540-982-0237
Fax Number	:	540-982-0103

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

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	12/05/2007

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