Individual
DR. PETER CHIRASEVEENUPRAPUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.S.
Contact information
Practice address
7920 FROST ST, SUITE 200, SAN DIEGO, CA 92123-2736
(858) 966-8082
Mailing address
3020 CHILDRENS WAY, MC5003, SAN DIEGO, CA 92123-4223
(858) 309-6300
Taxonomy
Speciality
Code
Description
License number
State
2080P0216X
Pediatric Rheumatology Physician
01069624
IN
2080P0216X
Pediatric Rheumatology Physician
Primary
A68277
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201026580
—
IN
Enumeration date
12/28/2006
Last updated
10/22/2023
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