Individual
DR. SUPRAJA CHIRRA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
510 CHRISTIANA MEDICAL CTR, NEWARK, DE 19702-1655
(302) 454-8880
(302) 454-1095
Mailing address
1602 NEWPORT GAP PIKE, WILMINGTON, DE 19808-6208
(302) 633-5840
(302) 633-5844
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C1-0005586
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000015490
—
DE
01
—
G82958
UPIN
DE
Enumeration date
02/06/2006
Last updated
07/08/2007
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