Montrie Chaksupa in Gallipolis - Obstetrics & Gynecology

Montrie Chaksupa - NPI 1316999386

Montrie Chaksupa is a Obstetrics & Gynecology in Gallipolis, Ohio. Montrie Chaksupa practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Montrie Chaksupa is 1316999386. The last update date is 2014-08-07.

Montrie Chaksupa's current location address is 90 Jackson Pike, Gallipolis, Ohio. You can contact this provider via phone number 7404465387 and fax number 7404465082. The mailing address for Montrie Chaksupa is 90 Jackson Pike, Gallipolis, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Montrie Chaksupa
Address 90 Jackson Pike, Gallipolis, Ohio
Phone Number 7404465387
Fax Number 7404465082
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1316999386
Provider Enumeration Date 2006-05-17
Last Updated Date 2014-08-07

Provider Mailing Address Detail

Address 90 Jackson Pike
City Gallipolis
State Ohio (OH)
Post Code 456311560
Phone Number 7404465387
Fax Number 7404465082

Provider's Primary Taxonomy Detail

Speciality Obstetrics & Gynecology
Taxonomy 207V00000X
Licence No 35-10-0192
Definition:
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
235203 OH MOLINA MEDICAID
92684000 WV --
310917085090 OH CARESOURCE MEDICAID
7452 ANTHEM BCBS
181427 OH UNISON MEDICAID
1714040 MOUNTAIN STATE BCBS
160017398 RR MEDICARE

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FAQs about Montrie Chaksupa

What is the unique 10-digit identifier code assigned to Montrie Chaksupa by the Centers for Medicare & Medicaid Services?

The Montrie Chaksupa has been issued the NPI (National Provider Identifier) 1316999386 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the Montrie Chaksupa located?

The Montrie Chaksupa is located at 90 Jackson Pike, Gallipolis, OH 456311560.

What is Montrie Chaksupa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Montrie Chaksupa's specialized field of practice is Obstetrics & Gynecology, and the corresponding taxonomy code that categorizes this area of specialization is 207V00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1316999386 to Montrie Chaksupa?

The Centers for Medicare & Medicaid Services originally issued the 1316999386 to Montrie Chaksupa on 2006-05-17.

When was the information related to Montrie Chaksupa most recently updated or refreshed?

The details pertaining to the Montrie Chaksupa, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-08-07.

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