1366556334 NPI number — DR. PADMAJA CHAPARALA M.D.

Table of content: DR. PADMAJA CHAPARALA M.D. (NPI 1366556334)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366556334 NPI number — DR. PADMAJA CHAPARALA M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHAPARALA
Provider First Name:
PADMAJA
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1366556334
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/24/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3212 CUTSHAW AVE
Provider Second Line Business Mailing Address:
SUITE 303
Provider Business Mailing Address City Name:
RICHMOND
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23230-5024
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
804-353-3324
Provider Business Mailing Address Fax Number:
804-353-4498

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3212 CUTSHAW AVE
Provider Second Line Business Practice Location Address:
SUITE 303
Provider Business Practice Location Address City Name:
RICHMOND
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23230-5024
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
804-353-3324
Provider Business Practice Location Address Fax Number:
804-353-4498
Provider Enumeration Date:
08/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  0101232646 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 007118902 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: O802871M . This is a "SENTARA - GOOCHLAND" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 305232 . This is a "ANTHEM -GOOCHLAND" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 305232 . This is a "ANTHEM HLKPRS - GOOCHLAND" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 004945557 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: A932447 . This is a "VALUE OPTIONS - GOOCHLAND" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com