Chandra, Channappa

Chandra, Channappa is an individual health care provider with primary practice located at 979 E 3Rd St Suite C430, Chattanooga TN 37403-2136. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Chandra, Channappa can be contacted via phone (423) 624-6584.

Contact Information

Primary practice address
979 E 3Rd St Suite C430 Chattanooga TN 37403-2136
Fax: (423) 624-6588
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD12337 Tennessee
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD12337 Tennessee

Profile Details

NPI number 1073510509
LBN Legal business name Chandra, Channappa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Feb 26th, 2013 - about 11 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 1073510509 NPPES
Tennessee Other 4582070001 DMERC

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