Individual
DR. CHAITANYA ALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2060 SPACE PARK DR STE 302, HOUSTON, TX 77058
(281) 333-9747
Mailing address
2060 SPACE PARK DR STE 302, HOUSTON, TX 77058-3675
(281) 333-9747
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0116017080
VA
207Q00000X
Family Medicine Physician
Primary
N0604
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134329782
NPI
TX
05
—
200874002
—
TX
Enumeration date
07/23/2007
Last updated
03/04/2019
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