Chandra, Channappa
Chandra, Channappa is an individual health care provider with primary practice located at 979 E 3Rd St Suite C430, Chattanooga TN 37403-2136. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Chandra, Channappa can be contacted via phone (423) 624-6584.Contact Information
Primary practice address
979 E 3Rd St Suite C430
Chattanooga TN 37403-2136
Phone: (423) 624-6584
Fax: (423) 624-6588
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD12337 | Tennessee |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD12337 | Tennessee |
Profile Details
| NPI number | 1073510509 |
|---|---|
| LBN Legal business name | Chandra, Channappa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Feb 26th, 2013 - about 13 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 | 1073510509 | NPPES |
| Tennessee | Other | 4582070001 | DMERC |
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