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NPI Code Detail

MEDICARE: PERIAKARUPPA CHOCKALINGAM MD PA

MEDICARE: PERIAKARUPPA CHOCKALINGAM MD PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease PhysicianME39541FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154624393
Entity Type Code : Organization
Provider Name (Legal Business Name) : PERIAKARUPPA CHOCKALINGAM MD PA
Provider Business Mailing Address
First Line : 3591 S HIGHLANDS AVE
Second Line :
City : SEBRING
State : FL
Zip : 33870-5410
Country : US
Telephone Number : 863-382-2826
Fax Number : 863-382-0966
Provider Business Practice Location Address
First Line : 3591 S HIGHLANDS AVE
Second Line :
City : SEBRING
State : FL
Zip : 33870-5410
Country : US
Telephone Number : 863-382-2826
Fax Number : 863-382-0966
Authorized Official
Title or Position : PHYSICIAN
Name : PERIAKARUPPA CHOCKALINGAM
Credential : MD
Telephone Number : 863-382-2826
Provider Enumeration Date : 12/09/2010
Last Update Date : 04/24/2012

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