Individual
KALYAN CHAKRAVARTHY SAGINALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HURLEY PLZ, FLINT, MI 48503-5902
(484) 340-6077
Mailing address
801 TUURI PL, APT # 116, FLINT, MI 48503-2481
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2019-0286
NM
390200000X
Student in an Organized Health Care Education/Training Program
4301107894
MI
390200000X
Student in an Organized Health Care Education/Training Program
5315071136
MI
Other
Enumeration date
07/02/2015
Last updated
04/20/2020
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