DAN CHAKSUPA

RALEIGH, NC
NPI1992819676
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NC  2005-01602)
Enumeration Date2006-08-18
Last Update Date2011-03-08
Business Address
-- DAN CHAKSUPA MD
3521 HAWORTH DR
RALEIGH, NC 27609-7244
Phone number: 919-782-1669
Mailing Address
-- DAN CHAKSUPA MD
PO BOX 18563
RALEIGH, NC 27619-8563
Phone number: 919-782-1806
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