Individual
KRISHNA CHAITANY SYAMALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 MORTON BLVD, HAZARD, KY 41701-9469
(606) 439-3557
(606) 436-6988
Mailing address
750 MORTON BLVD, HAZARD, KY 41701-9469
(606) 439-3557
(606) 436-6988
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R3641
KY
Other
Enumeration date
07/10/2014
Last updated
07/08/2015
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