Chatra, Shubha R
Chatra, Shubha R is an individual health care provider with primary practice located at 2000 Brookside Dr Third Floor, Kingsport TN 37660-4627. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Chatra, Shubha R can be contacted via phone (423) 857-5905.Contact Information
Primary practice address
2000 Brookside Dr Third Floor
Kingsport TN 37660-4627
Phone: (423) 857-5905
Fax: (423) 857-5904
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 36586 | Tennessee |
Profile Details
| NPI number | 1205804820 |
|---|---|
| LBN Legal business name | Chatra, Shubha R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Dec 29th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205804820 | NPPES |
| Virginia | MEDICAID | 1205804820 | |
| Virginia | MEDICAID | Q002690 | |
| Virginia | Other | P01042347 | |
| Virginia | MEDICAID | 38747501 | |
| Virginia | MEDICAID | 64060684 | |
| Virginia | MEDICAID | 3874752 | |
| Virginia | MEDICAID | 7906546 |
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