Healthcare Provider Details

I. General information

NPI: 1245383561
Provider Name (Legal Business Name): MUPAS-CHINAKARN ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 03/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ROSS PARK SUITE 201
STEUBENVILLE OH
43952-2681
US

IV. Provider business mailing address

1 ROSS PARK BLVD SUITE 201
STEUBENVILLE OH
43952-2681
US

V. Phone/Fax

Practice location:
  • Phone: 740-283-4779
  • Fax: 740-283-2081
Mailing address:
  • Phone: 740-283-4779
  • Fax: 740-283-2081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DONNA M ZAHN
Title or Position: OFFICE MANAGER
Credential:
Phone: 740-283-4779