Provider Demographics
NPI:1295112761
Name:CHAPADOS, TIMOTHY W (DO)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:W
Last Name:CHAPADOS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 MERIDEN AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTHINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06489-3272
Mailing Address - Country:US
Mailing Address - Phone:860-628-6696
Mailing Address - Fax:860-628-2329
Practice Address - Street 1:70 MERIDEN AVE
Practice Address - Street 2:
Practice Address - City:SOUTHINGTON
Practice Address - State:CT
Practice Address - Zip Code:06489-3272
Practice Address - Country:US
Practice Address - Phone:860-628-6696
Practice Address - Fax:860-628-2329
Is Sole Proprietor?:No
Enumeration Date:2015-05-04
Last Update Date:2025-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT61800207Q00000X
NH19635207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine