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Contact Information

CHAITRA CHANNAPPA, MBBS
31 HOME DEPOT DR STE 283
PLYMOUTH, MA02360-2669
 Phone: 774-343-2432
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CHAITRA CHANNAPPA · (Female)

NPI Number 1457508079
Status Active
Credentials MBBS
Entity Individual
Enumeration date 08/26/2008
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • IA License # R-8277
  • MA License # 271152
  • NC License # 2013-00450
  • MA Other 271152 MA MEDICAL LICENSE BOARD
  • NC Other 2013-00450 LICENSE
Hospital affiliation(s)
  • JORDAN HOSPITAL INC - (Acute Care)
    275 SANDWICH STREET
    PLYMOUTH, MA 02360
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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