Provider Demographics
NPI:1548148802
Name:CHIRRA, RAJA SHEKAR REDDY
Entity type:Individual
Prefix:
First Name:RAJA SHEKAR
Middle Name:REDDY
Last Name:CHIRRA
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 HARRISON DR
Mailing Address - Street 2:
Mailing Address - City:HOCKESSIN
Mailing Address - State:DE
Mailing Address - Zip Code:19707-1915
Mailing Address - Country:US
Mailing Address - Phone:215-837-8392
Mailing Address - Fax:
Practice Address - Street 1:409 HARRISON DR
Practice Address - Street 2:
Practice Address - City:HOCKESSIN
Practice Address - State:DE
Practice Address - Zip Code:19707-1915
Practice Address - Country:US
Practice Address - Phone:215-837-8392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY040141183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist