Provider Demographics
NPI:1366556334
Name:CHAPARALA, PADMAJA (MD)
Entity type:Individual
Prefix:DR
First Name:PADMAJA
Middle Name:
Last Name:CHAPARALA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3212 CUTSHAW AVE
Mailing Address - Street 2:SUITE 303
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-5024
Mailing Address - Country:US
Mailing Address - Phone:804-353-3324
Mailing Address - Fax:804-353-4498
Practice Address - Street 1:3212 CUTSHAW AVE
Practice Address - Street 2:SUITE 303
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-5024
Practice Address - Country:US
Practice Address - Phone:804-353-3324
Practice Address - Fax:804-353-4498
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012326462084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA007118902Medicaid
VAO802871MOtherSENTARA - GOOCHLAND
VA305232OtherANTHEM -GOOCHLAND
VA305232OtherANTHEM HLKPRS - GOOCHLAND
VA004945557Medicaid
VAA932447OtherVALUE OPTIONS - GOOCHLAND
VA305232OtherANTHEM HLKPRS - GOOCHLAND
VA007118902Medicaid