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Individual

ALAN W CHIEMPRABHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1070 VINEHAVEN DR, CONCORD, NC 28025
(704) 783-1840
(704) 783-1850
Mailing address
1070 VINEHAVEN DR, CONCORD, NC 28025
(704) 783-1840
(704) 783-1850

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
136HK
BLUE CROSS BLUE SHEILD
NC
05
89136HK
NC
01
P00205325
RAILROAD MEDICARE
NC
Enumeration date
08/07/2006
Last updated
11/08/2007
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