Chaitra Channappa (NPI# 1457508079, PAC ID# 1658519574) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1457508079 |
| PAC ID by PECOS | 1658519574 |
| Professional Enrollment ID | I20171115001214 |
| Full Name | Chaitra Channappa |
| Address |
31 Home Depot Dr Suite 283 Plymouth MA 02360-2669 |
| Gender | F |
| Graduation Year | 2004 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | GENERAL PRACTICE, NUCLEAR MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220060 | BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH |
| Address | Phone | Organization |
|---|---|---|
| 31 Home Depot Dr, Suite 283, Plymouth, MA 02360-2669 | ||
| 40 Pinehills Dr, Apt 1241, Plymouth, MA 02360-7824 |
| Street Address |
31 HOME DEPOT DR SUITE 283 |
| City | PLYMOUTH |
| State | MA |
| Zip | 02360-2669 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Ryan | Psychologist, Clinical | Integrated Counseling Centers, Inc. | 64 Industrial Pk Rd, Plymouth, MA 02360 |
| Timothy J Ryan | Clinical Social Worker | Integrated Counseling Centers, Inc. | 64 Industrial Pk Rd, Plymouth, MA 02360 |
| Janet E Petrella | Clinical Social Worker | 8 E Circuit Ave, Plymouth, MA 02360-1151 | |
| Debra J Gunning | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 8 Pilgrim Way, Plymouth, MA 02360-1342 |
| Laurel H Martens | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 8 Pilgrim Way, Plymouth, MA 02360-1342 |
| Kadhiresan Raja Murugappan | Anesthesiology | Jordan Physician Associates Inc. | 275 Sandwich St, Plymouth, MA 02360-2183 |
| Lorenz B Cueni | Cardiovascular Disease (cardiology) | 275 Sandwich St (beth Srael Deaconess, Plymouth, MA 02360-2183 | |
| Mark J Longsjo | Clinical Social Worker | Beth Israel Deaconess Hospital Plymouth Inc | 275 Sandwich St, Plymouth, MA 02360-2183 |
| Irina L Gurevich | Hematology/oncology | Jordan Physician Associates Inc. | 275 Sandwich St, Plymouth, MA 02360-2183 |
| William B Gorsuch | Physician Assistant | Jordan Physician Associates Inc. | 275 Sandwich St, Plymouth, MA 02360-2183 |
| Find all physicians in zip 02360 | |||
| City | PLYMOUTH |
| Zip Code | 02360 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PLYMOUTH + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Chaitra Channappa.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.