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NPI Code Detail

MEDICARE: HARITHA R CHALLA M.D

MEDICARE: HARITHA R CHALLA M.D
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
1208M00000XHospitalist Physician067907GA
2207R00000XInternal Medicine Physician67907GA

General Provider Information

NPI Number : 1023384849
Entity Type Code : Individual
Provider Name (Legal Business Name) : HARITHA R CHALLA M.D
Provider Business Mailing Address
First Line : 1000 JOHNSON FERRY RD
Second Line : ATTN MANAGED CARE 10-905
City : ATLANTA
State : GA
Zip : 30342
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6135 BARFIELD RD STE 200
Second Line :
City : ATLANTA
State : GA
Zip : 30328-4308
Country : US
Telephone Number : 404-256-8500
Fax Number : 404-256-8506
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2012
Last Update Date : 12/16/2024

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Directions to “ HARITHA R CHALLA M.D” Practice Location

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