Provider Demographics
NPI:1801835277
Name:CHAPARALA, SUJANA (MD)
Entity Type:Individual
Prefix:
First Name:SUJANA
Middle Name:
Last Name:CHAPARALA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 ROCHE BROTHERS WAY
Mailing Address - Street 2:TWO WASHINGTON PLACE, SUITE 130
Mailing Address - City:NORTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02356-1032
Mailing Address - Country:US
Mailing Address - Phone:508-894-8730
Mailing Address - Fax:508-894-8732
Practice Address - Street 1:31 ROCHE BROTHERS WAY
Practice Address - Street 2:TWO WASHINGTON PLACE, SUITE 130
Practice Address - City:NORTH EASTON
Practice Address - State:MA
Practice Address - Zip Code:02356-1032
Practice Address - Country:US
Practice Address - Phone:508-894-8730
Practice Address - Fax:508-894-8732
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA156840207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0037725OtherNEIGHBORHOOD HEALTH
MA495081OtherTUFTS HEALTH PLAN
MA000000033029OtherBMC HEALTHNET
MA7403912OtherAETNA
MAAA52140OtherHARVARD PILGRIM
MAJ29803OtherBCBSMA
MA31319-3OtherBCBSRI
MA2116642Medicaid
MA413264OtherBCBSRI BLUE CHIP
MA042675800OtherUNITED HEALTH PLAN
MA3546154OtherCIGNA
MACH-A39634Medicare ID - Type UnspecifiedMEDICARE
MA495081OtherTUFTS HEALTH PLAN