Challa, Surya
Challa, Surya is an sole proprietor health care provider with primary practice located at 300 Medical Pkwy Suite 208, Chesapeake VA 23320-4985. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Challa, Surya can be contacted via phone (757) 819-7633.Contact Information
Primary practice address
300 Medical Pkwy Suite 208
Chesapeake VA 23320-4985
Phone: (757) 819-7633
Fax: (757) 819-7665
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 233830 | New York |
Profile Details
| NPI number | 1316936610 |
|---|---|
| LBN Legal business name | Challa, Surya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2005 |
| Last updated | Jul 25th, 2016 - about 9 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 | 1316936610 | NPPES |
| Virginia | Other | 246704 | ANTHEM |
| Virginia | Other | 10014218 | ANTHEM |
| Virginia | MEDICAID | 5905675 | ANTHEM |
| Virginia | Other | 205575330 | ANTHEM |
| Virginia | Other | 2501166 | ANTHEM |
| Virginia | MEDICAID | 010332516 | ANTHEM |
| Virginia | Other | 7626158 | ANTHEM |
| Virginia | Other | P00386516 | ANTHEM |
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