Individual
DR. KISHORE K. CHALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.C.
Contact information
Practice address
4607 MACCORKLE AVENUE SW, SUITE 300, SO CHARLESTON, WV 25309-1364
(304) 766-3688
(304) 766-3484
Mailing address
4607 MACCORKLE AVENUE SW, SUITE 300, SOUTH CHARLESTON, WV 25309-1364
(304) 766-3688
(304) 766-3484
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
15721
WV
207RI0011X
Interventional Cardiology Physician
Primary
15721
WV
Other
Enumeration date
01/02/2007
Last updated
05/10/2022
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