Individual
VINEELA CHIKKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1108 ROSS CLARK CIR, DOTHAN, AL 36301-3022
(334) 793-8111
Mailing address
219 KIRKSEY DR, DOTHAN, AL 36305-3238
(443) 895-5888
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301105251
MI
208M00000X
Hospitalist Physician
Primary
100516
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2014
Last updated
07/10/2024
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