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NPI Code Detail

MEDICARE: JOTHIKA CHALLAPALLI MD

MEDICARE: JOTHIKA CHALLAPALLI 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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1295318475
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOTHIKA CHALLAPALLI MD
Provider Business Mailing Address
First Line : 1275 YORK AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10065-6007
Country : US
Telephone Number : 718-598-8653
Fax Number :
Provider Business Practice Location Address
First Line : 1275 YORK AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10065-6007
Country : US
Telephone Number : 212-639-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2021
Last Update Date : 06/09/2026

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Directions to “ JOTHIKA CHALLAPALLI MD” Practice Location

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