Individual provider Active NPI

P Chandra Chadaga, M.D

  • Diagnostic Radiology Physician
  • Blue Bell, PA
National Provider Identifier
1487807731
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD014567E Issued in PA
Practice address
110 Inverness Dr
Blue Bell, PA 19422-3202
Phone
(610) 292-9785
NPI assigned
Oct 30, 2008
Last updated
Oct 30, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD014567E PA Primary

Addresses

Primary practice location

110 Inverness Dr
Blue Bell, PA 19422-3202

Mailing address

110 Inverness Dr
Blue Bell, PA 19422-3202
Phone (610) 292-9785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD014567EPAMDDiagnostic Radiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225324800000",
    "number": "1487807731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 INVERNESS DR",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194223202",
            "telephone_number": "610-292-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 INVERNESS DR",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194223202",
            "telephone_number": "610-292-9785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADAGA",
        "first_name": "P",
        "middle_name": "CHANDRA",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-30",
        "last_updated": "2008-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD014567E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Bell, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; 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.