Individual
DR. SHUBHA R CHATRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2000 BROOKSIDE DR, THIRD FLOOR, KINGSPORT, TN 37660-4627
(423) 857-5905
(423) 857-5904
Mailing address
2000 BROOKSIDE DR, THIRD FLOOR, KINGSPORT, TN 37660-4627
(423) 857-5905
(423) 857-5904
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36586
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205804820
—
VA
05
—
38747501
—
TN
05
—
3874752
—
TN
05
—
64060684
—
KY
05
—
7906546
—
NC
01
—
P01042347
RR MEDICARE
TN
05
—
Q002690
—
TN
Enumeration date
03/09/2006
Last updated
12/29/2014
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