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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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 1457508079 NPPES
North Carolina Other 2013-00450 LICENSE
North Carolina Other 271152 LICENSE

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