Individual
DR. CHANNAPPA CHANDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
979 E 3RD ST, SUITE C430, CHATTANOOGA, TN 37403-2136
(423) 624-6584
(423) 624-6588
Mailing address
979 E 3RD ST, SUITE C430, CHATTANOOGA, TN 37403-2136
(423) 624-6584
(423) 624-6588
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD12337
TN
207X00000X
Orthopaedic Surgery Physician
Primary
MD12337
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4582070001
DMERC
TN
Enumeration date
06/30/2005
Last updated
02/26/2013
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