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Montrie Chaksupa, MD
Obstetrics & Gynecology Physician in Gallipolis, Ohio
NPI 1316999386

Montrie Chaksupa is a Obstetrics & Gynecology Physician based in Gallipolis, OH. Montrie Chaksupa practices in Gallipolis, OH and has the professional credentials of MD. The NPI Number for Montrie Chaksupa is 1316999386 and holds a License No. 35-10-0192 (Ohio).

The current practice location address for Montrie Chaksupa is 90 Jackson Pike, Gallipolis, OH and can be reached out via phone at 740-446-5381 and via fax at 740-446-5082.

Location: 90 Jackson Pike, Gallipolis, OH, 45631-1560
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316999386
Provider Name
Montrie Chaksupa
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
90 Jackson Pike, Gallipolis, OH, 45631-1560
Phone Number
740-446-5381
Fax Number
740-446-5082
Provider Enumeration Date
05/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0235203 01 OH MOLINA MEDICAID
0092684000 05 WV
310917085090 01 OH CARESOURCE MEDICAID
000000007452 01 ANTHEM BCBS
000000181427 01 OH UNISON MEDICAID
001714040 01 MOUNTAIN STATE BCBS
160017398 01 RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
90 Jackson Pike
City
Gallipolis
State
Ohio
Zip
45631-1560
Phone Number
740-446-5381
Fax Number
740-446-5082
person
Provider Business Mailing Address Details
Address
90 Jackson Pike
City
Gallipolis
State
Ohio
Zip
45631-1560
Phone Number
740-446-5381
Fax Number
740-446-5082
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
35-10-0192 (Ohio)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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