Challa, Surya

Challa, Surya is an sole proprietor health care provider with primary practice located at 300 Medical Pkwy Suite 208, Chesapeake VA 23320-4985. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Challa, Surya can be contacted via phone (757) 819-7633.

Contact Information

Primary practice address
300 Medical Pkwy Suite 208 Chesapeake VA 23320-4985
Phone: (757) 819-7633
Fax: (757) 819-7665
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 233830 New York

Profile Details

NPI number 1316936610
LBN Legal business name Challa, Surya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2005
Last updated Jul 25th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316936610 NPPES
Virginia Other 246704 ANTHEM
Virginia Other 10014218 ANTHEM
Virginia MEDICAID 5905675 ANTHEM
Virginia Other 205575330 ANTHEM
Virginia Other 2501166 ANTHEM
Virginia MEDICAID 010332516 ANTHEM
Virginia Other 7626158 ANTHEM
Virginia Other P00386516 ANTHEM

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