Provider Demographics
NPI:1174823694
Name:CHELLAPPAN, SRIPRIYA (MSPHD)
Entity Type:Individual
Prefix:MS
First Name:SRIPRIYA
Middle Name:
Last Name:CHELLAPPAN
Suffix:
Gender:F
Credentials:MSPHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5702 SUMMITVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-3040
Mailing Address - Country:US
Mailing Address - Phone:509-965-3870
Mailing Address - Fax:509-965-4734
Practice Address - Street 1:5702 SUMMITVIEW AVE
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98908-3040
Practice Address - Country:US
Practice Address - Phone:509-965-3870
Practice Address - Fax:509-965-4734
Is Sole Proprietor?:No
Enumeration Date:2010-10-31
Last Update Date:2010-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00070351183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist