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Individual

SURYA CHALLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 MEDICAL PKWY, SUITE 208, CHESAPEAKE, VA 23320-4985
(757) 819-7633
(757) 819-7665
Mailing address
300 MEDICAL PKWY STE 208, CHESAPEAKE, VA 23320-4985
(757) 819-7633
(757) 819-7665

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101229168
VA
208600000X
Surgery Physician
Primary
233830
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010332516
VA
01
10014218
SENTARA
VA
01
205575330
TRICARE
VA
01
246704
ANTHEM
VA
01
2501166
CIGNA
VA
05
5905675
NC
01
7626158
AETNA
VA
01
P00386516
RR MEDICARE
VA
Enumeration date
10/19/2005
Last updated
01/28/2026
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