Provider Demographics
NPI:1265996219
Name:HOUSECALL PHYSICIANS, INC
Entity type:Organization
Organization Name:HOUSECALL PHYSICIANS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAITRA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANNAPPA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:774-343-2432
Mailing Address - Street 1:31 HOME DEPOT DR STE 283
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-2669
Mailing Address - Country:US
Mailing Address - Phone:774-343-2432
Mailing Address - Fax:
Practice Address - Street 1:31 HOME DEPOT DRIVE
Practice Address - Street 2:SUITE 283
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360
Practice Address - Country:US
Practice Address - Phone:774-343-2432
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-24
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty