Individual
DR. DIVYA MALINI CHALIKONDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
833 CHESTNUT ST, SUITE 220, PHILADELPHIA, PA 19107-4414
(215) 955-8465
Mailing address
833 CHESTNUT ST, SUITE 220, PHILADELPHIA, PA 19107-4414
(215) 955-8465
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD468183
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2016
Last updated
07/15/2019
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