Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | MD471121 | PA |
N | 207N00000X | Dermatologist | MT215272 | PA |
NPI | 1013366756 |
---|---|
Provider Name | Dr. Ramya S Chockalingam |
First Address | Danville, PA 17822-4903 |
Second Address | Danville, PA 17822 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2016 |
Last Update Date | 19/10/2020 |