Chandra Kumar Mallic Kodavanti, MD

NPI #1093236580 in Dothan, Alabama

Provider Information

NPI Number
1093236580
Entity Type
Individual
Name
Chandra Kumar Mallic Kodavanti, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Internal Medicine - Critical Care Medicine
Credential
MD
Enumeration Date
Jul 5, 2017
Last Updated
Jul 25, 2023

Practice Location

Address
1108 ROSS CLARK CIR
City
Dothan
State
Alabama
ZIP Code
36301-3022
Phone
(334) 703-8836

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Internal Medicine - Critical Care MedicineCritical Care Medicine

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