Provider Demographics
NPI:1407746209
Name:CHAPPIDI, CHAITANYA
Entity type:Individual
Prefix:
First Name:CHAITANYA
Middle Name:
Last Name:CHAPPIDI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32107 HAMILTON CT APT 105
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-5732
Mailing Address - Country:US
Mailing Address - Phone:440-485-9298
Mailing Address - Fax:
Practice Address - Street 1:3701 LORAIN AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44113-3707
Practice Address - Country:US
Practice Address - Phone:216-778-4725
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-04
Last Update Date:2025-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRES.0048631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice