Provider Demographics
NPI:1972860641
Name:CHAPMAN, KATRINA ALEXIS (DO, MPH)
Entity Type:Individual
Prefix:DR
First Name:KATRINA
Middle Name:ALEXIS
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:DO, MPH
Other - Prefix:
Other - First Name:KATRINA
Other - Middle Name:ALEXIS
Other - Last Name:BELOVA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2451 FILLINGIM ST RM 714
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36617-2238
Mailing Address - Country:US
Mailing Address - Phone:251-471-7117
Mailing Address - Fax:
Practice Address - Street 1:2451 FILLINGIM ST RM 714
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36617-2238
Practice Address - Country:US
Practice Address - Phone:251-471-7117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-18
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALDO 1365207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine