Healthcare Provider Details

I. General information

NPI: 1093635732
Provider Name (Legal Business Name): RAHUL CHALAMALA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 MARKET ST STE 1940 PMB 290034
SAN FRANCISCO CA
94105-2448
US

IV. Provider business mailing address

455 MARKET ST STE 1940 PMB 290034
SAN FRANCISCO CA
94105-2448
US

V. Phone/Fax

Practice location:
  • Phone: 738-201-1477
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: