Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHANDRA KUMAR MALLIC KODAVANTI, MD
ActiveCHANDRA KUMAR MALLIC KODAVANTI, MD is a Critical Care Medicine healthcare provider located in DOTHAN, Alabama. NPI 1093236580 is currently active in the NPPES registry. Verify at CMS.
Critical Care Medicine · DOTHAN, AL
Registration Details
- NPI Number
- 1093236580
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 5, 2017 (9.1267394780254 yrs)
- Last Updated
- Jul 25, 2023
- Licenses
-
RS2020-0463 (NM)BP10060414 (TX)MD.46417 (AL)
Practice Information
- Address
-
1108 ROSS CLARK CIRDOTHAN, AL, 363013022Browse AL providers · Browse ZIP 36301
- Phone
- 3347038836
- Fax
- 3347123512
- Primary Specialty
-
Critical Care Medicine
207RC0200X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Critical Care Medicine
Other Critical Care Medicine Providers in DOTHAN, AL
| Name | Credential | NPI |
|---|---|---|
| JOSE FAUSTO RAMIREZ PORRES | MD | 1992936256 |
| FNU ANSHUL | MD | 1093168593 |
| DR. OSAKPOLOR OGBEBOR | M.D | 1124563853 |
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.