Basic Information
Provider Information
NPI: 1346525235
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHAPAGAIN
FirstName: AKHIL
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 211 S 3RD ST
Address2: APT 2E
City: BELLEVILLE
State: IL
PostalCode: 622201915
CountryCode: US
TelephoneNumber: 6182342120
FaxNumber:  
Practice Location
Address1: 211 S 3RD ST
Address2: APT 2E
City: BELLEVILLE
State: IL
PostalCode: 622201915
CountryCode: US
TelephoneNumber: 6182342120
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/11/2011
LastUpdateDate: 02/12/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/12/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X036126353ILY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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