Vittal Venkata Chapa MD

NPI 1003805151 - Internal Medicine - 207R00000X

NPI Details
NPI 1003805151
Gender Male
Enumeration Date 10/20/2005
Last Updated 05/15/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
138 E DEAN ST
VIRDEN IL, 62690-1446, US
Phone (217) 965-5481
Fax (217) 965-5640
Business Location
138 E DEAN ST
VIRDEN IL, 62690-1446, US
Phone (217) 965-5481
Fax (217) 965-5640
Toxanomy
Taxonomy Code 207R00000X
License State Illinois
License Number 036052159
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According to our database, Dr. Vittal Venkata Chapa MD NPI is 1003805151, taxonomy code is 207R00000X and license number is 036052159, license state is located at Illinois. Vittal Venkata Chapa MD physically located at 138 E Dean St, Virden IL, 62690-1446. NPI Number Vittal Venkata Chapa MD has the Individual type.

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1003805151 NPI number is provided on an as is basis without warranty of any kind. 1003805151 is maintained by the National Plan & Provider Enumeration System. The contents of Vittal Venkata Chapa MD are for informational purposes only.