Individual
DR. SOUJANYA CHAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 219-6000
Mailing address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 219-6000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD432268
PA
208M00000X
Hospitalist Physician
Primary
075145
GA
208M00000X
Hospitalist Physician
MD432268
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033797800
MARYLAND MEDICAL ASSISTANCE-WMG
MD
05
—
101960373
—
PA
01
—
110901
GEISINGER
PA
01
—
1564186
GATEWAY-WMG
PA
01
—
1976337
HIGHMARK BLUE SHIELD
PA
01
—
20090413
AMERIHEALTH MERCY-WMG
PA
01
—
211425
JOHNS HOPKINS
PA
01
—
2161248
MAMSI-WMG
—
01
—
220614
UNISON-WMG
PA
01
—
30131831
AMERIHEALTH MERCY - WMG
PA
01
—
50071108
CAPITAL BLUE CROSS-WMG
PA
01
—
900389
CAREFIRST MD BCBS
MD
01
—
9120068
AETNA
PA
Enumeration date
05/01/2007
Last updated
01/26/2016
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