Channappa, Chaitra
Channappa, Chaitra is an sole proprietor health care provider with primary practice located at 31 Home Depot Dr Ste 283 , Plymouth MA 02360-2669. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Channappa, Chaitra can be contacted via phone (774) 343-2432.Contact Information
Primary practice address
31 Home Depot Dr Ste 283
Plymouth MA 02360-2669
Phone: (774) 343-2432
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2013-00450 | North Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | R-8277 | Iowa |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 271152 | Massachusetts |
Profile Details
| NPI number | 1457508079 |
|---|---|
| LBN Legal business name | Channappa, Chaitra |
| Credentials | MBBS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 26th, 2008 |
| Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457508079 | NPPES |
| North Carolina | Other | 2013-00450 | LICENSE |
| North Carolina | Other | 271152 | LICENSE |
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