Provider Demographics
NPI:1457311300
Name:CHAPARALA, SATYA B (MD)
Entity Type:Individual
Prefix:
First Name:SATYA
Middle Name:B
Last Name:CHAPARALA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5161 B DR S
Mailing Address - Street 2:SUITE A
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015-9345
Mailing Address - Country:US
Mailing Address - Phone:269-969-6099
Mailing Address - Fax:269-969-6089
Practice Address - Street 1:5161 B DR S
Practice Address - Street 2:SUITE A
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015-9345
Practice Address - Country:US
Practice Address - Phone:269-969-6099
Practice Address - Fax:269-969-6089
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI055809207RP1001X
MI4301055809207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2674973Medicaid
MI2674973Medicaid
MI0A36077Medicare ID - Type Unspecified