Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KISHORE K. CHALLA, M.D., F.A.C.C.
ActiveDR. KISHORE K. CHALLA, M.D., F.A.C.C. is a Hospice and Palliative Medicine healthcare provider located in SO CHARLESTON, West Virginia. NPI 1043377062 is currently active in the NPPES registry. Verify at CMS.
Hospice and Palliative Medicine · SO CHARLESTON, WV
Registration Details
- NPI Number
- 1043377062
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 2, 2007 (19.64763609769 yrs)
- Last Updated
- May 10, 2022
- Licenses
-
15721 (WV)15721 (WV)
Practice Information
- Address
-
4607 MACCORKLE AVENUE SWSUITE 300SO CHARLESTON, WV, 253091364Browse WV providers · Browse ZIP 25309
- Phone
- 3047663688
- Fax
- 3047663484
- Primary Specialty
-
Hospice and Palliative Medicine
207RI0011X
- Additional Specialty
- Hospice and Palliative Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.