Dr. Chaitra Channappa, MBBS
Family Medicine, Geriatric Medicine in Plymouth, MA. Individual provider (NPI-1).
NPI number1457508079
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1457508079
- Entity type
- Individual (NPI-1)
- Name
- Dr. Chaitra Channappa
- Credential
- MBBS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 26, 2008
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QG0300X | Family Medicine, Geriatric Medicine | 271152 | MA | Yes |
| 207Q00000X | Family Medicine | 2013-00450 | NC | |
| 207Q00000X | Family Medicine | R-8277 | IA |
Practice location
31 Home Depot Dr Ste 283Plymouth, MA 02360-2669
Phone 774-343-2432
Mailing address
31 Home Depot Dr Ste 283Plymouth, MA 02360-2669
Phone 774-343-2432
Other practice locations
40 Pinehills Dr Apt 1241
Plymouth, MA 02360-7824
Plymouth, MA 02360-7824
Phone 319-400-6636
40 Pinehills Dr Apt 1241
Plymouth, MA 02360-7824
Plymouth, MA 02360-7824
Phone 319-400-6636
31 Home Depot Dr Ste 283
Plymouth, MA 02360-2669
Plymouth, MA 02360-2669
Phone 774-343-2432
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