V Chokkavelu MD Inc

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

V CHOKKAVELU MD INC

Practice address

66761 Anna Dr
Saint Clairsville, OH 43950-9241

Phone

(740) 433-4523

Fax

(740) 433-4523

NPI assigned

Sep 13, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vasantha Chokkavelu

Title

Office Manager

Phone

(740) 433-4523

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1144325697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66761 ANNA DR",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439509241",
            "telephone_number": "740-433-4523",
            "fax_number": "740-433-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66761 ANNA DR",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439509241",
            "telephone_number": "740-433-4523",
            "fax_number": "740-433-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V CHOKKAVELU MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "CHOKKAVELU",
        "authorized_official_first_name": "VASANTHA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "740-433-4523"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011152000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2070191",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.