Organization
S. CHAPA, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUKUMAR M CHAPA M.D. (PRESIDENT)
(814) 849-5151
Entity
Organization
Contact information
Practice address
240 ALLEGHENY BLVD STE A, BROOKVILLE, PA 15825-2324
(814) 849-5151
(814) 849-9624
Mailing address
240 ALLEGHENY BLVD STE A, BROOKVILLE, PA 15825-2324
(814) 849-5151
(814) 849-9624
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD038943L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008219620002
—
PA
Enumeration date
08/31/2006
Last updated
12/05/2007
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