Individual
SUKUMAR M CHAPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
240 ALLEGHENY BLVD, STE A, BROOKVILLE, PA 15825-2323
(814) 849-5151
(814) 849-9624
Mailing address
PO BOX 447, DU BOIS, PA 15801-0447
(814) 849-5151
(814) 849-9624
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD038943L
PA
208600000X
Surgery Physician
Primary
MD038943L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008219620002
—
PA
Enumeration date
04/04/2006
Last updated
06/16/2011
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