Provider Demographics
NPI:1295112761
Name:CHAPADOS, TIMOTHY W (DO)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:W
Last Name:CHAPADOS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 ROUTE 101
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NH
Mailing Address - Zip Code:03031-1735
Mailing Address - Country:US
Mailing Address - Phone:603-249-3000
Mailing Address - Fax:603-249-3021
Practice Address - Street 1:199 ROUTE 101
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NH
Practice Address - Zip Code:03031-1735
Practice Address - Country:US
Practice Address - Phone:603-249-3000
Practice Address - Fax:603-249-3021
Is Sole Proprietor?:No
Enumeration Date:2015-05-04
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT15909207Q00000X
NH19635207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine