Poornima Chadalawada, Md,pa

NPI #1194097139 in Desoto, Texas

Provider Information

NPI Number: 1194097139
Entity Type: Organization
Organization Name: Poornima Chadalawada, Md,pa
Primary Specialty: Internal Medicine
Enumeration Date: Feb 7, 2012
Last Updated: Feb 7, 2012

Practice Location

Address: 2727 BOLTON BOONE DR
Address 2: SUITE 109
City: Desoto
State: Texas
ZIP Code: 75115-2019
Phone: (972) 283-2370

Authorized Official

Name: POORNIMA CHADALAWADA, MD
Title: PRESIDENT
Phone: (972) 283-2370

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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