Provider Demographics
NPI:1184153462
Name:CHUBB, RHIANNON ELIZABETH (MD)
Entity type:Individual
Prefix:
First Name:RHIANNON
Middle Name:ELIZABETH
Last Name:CHUBB
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 PARK ST
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-5204
Mailing Address - Country:US
Mailing Address - Phone:508-862-5650
Mailing Address - Fax:
Practice Address - Street 1:34 PARK ST
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-5204
Practice Address - Country:US
Practice Address - Phone:508-862-5650
Practice Address - Fax:508-778-4753
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-08
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1015597207RI0200X
RIMD17075207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty