Individual
DR. SRINIVAS CHANNAPRAGADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
43 GREEN HILL RD, SPRINGFIELD, NJ 07081-3615
(908) 522-0829
(908) 522-0849
Mailing address
43 GREEN HILL RD, SPRINGFIELD, NJ 07081-3615
(908) 522-0829
(908) 522-0849
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA05830600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1115966
HORIZON MERCY
NJ
01
—
575293
AETNA
NJ
05
—
6877702
—
NJ
01
—
83438
AMERIGROUP
NJ
01
—
J5609N
HMO BLUE
NJ
01
—
OK3622
HEALTH NET
NJ
01
—
P384199
OXFORD
NJ
Enumeration date
01/08/2007
Last updated
03/20/2008
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