Provider Demographics
NPI:1215953807
Name:JOSEPH, PRAYRANA CHHABRA (MD)
Entity type:Individual
Prefix:DR
First Name:PRAYRANA
Middle Name:CHHABRA
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:PRAYRANA
Other - Middle Name:
Other - Last Name:TANDON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 110566
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27709-5566
Mailing Address - Country:US
Mailing Address - Phone:919-620-4855
Mailing Address - Fax:
Practice Address - Street 1:7503 S NORTHSHORE DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-8002
Practice Address - Country:US
Practice Address - Phone:865-531-1300
Practice Address - Fax:865-470-9190
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2022-00014207Q00000X
TN44072207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1510333Medicaid
TN1510333Medicaid