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NPI Code Detail

MEDICARE: VENKATA RAMANA CHALLA MD

MEDICARE: VENKATA RAMANA CHALLA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0101XAnatomic Pathology Physician22900NC

General Provider Information

NPI Number : 1497739866
Entity Type Code : Individual
Provider Name (Legal Business Name) : VENKATA RAMANA CHALLA MD
Provider Business Mailing Address
First Line : 3719 W MARKET ST
Second Line : STE B
City : GREENSBORO
State : NC
Zip : 27403-1378
Country : US
Telephone Number : 336-547-6361
Fax Number : 336-547-6364
Provider Business Practice Location Address
First Line : 507 N LINDSAY ST
Second Line :
City : HIGH POINT
State : NC
Zip : 27262-4303
Country : US
Telephone Number : 336-883-0029
Fax Number : 336-899-1136
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2005
Last Update Date : 06/07/2016

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Directions to “ VENKATA RAMANA CHALLA MD” Practice Location

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