Individual
DR. NAVEEN SRINIVAS CHAPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3050 MONTVALE DR STE A, SPRINGFIELD, IL 62704-6924
(217) 726-8096
Mailing address
611 W PARK ST, URBANA, IL 61801-2529
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036120800
IL
2085R0202X
Diagnostic Radiology Physician
2005021692
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036120800
—
IL
Enumeration date
07/11/2007
Last updated
05/19/2022
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