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Individual
VIDYA CHALLAPALLI
Active
Individual
VIDYA CHALLAPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
01059918A
IN
207L00000X
Anesthesiology Physician
01059918A
IN
207L00000X
Anesthesiology Physician
036.108031
IL
207L00000X
Anesthesiology Physician
Primary
P2210
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000367998
ANTHEM BCBS
IN
05
—
036108031
—
IL
05
—
200513740A
—
IN
Enumeration date
05/08/2006
Last updated
09/27/2013
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