Individual
DR. KRISHNA KISHORE CHIVUKULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3120 FREDERICK RD, SUITE I, OPELIKA, AL 36801-7134
(334) 887-0955
(334) 887-0964
Mailing address
3120 FREDERICK RD, SUITE I, OPELIKA, AL 36801-7134
(334) 887-0955
(334) 887-0964
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
22278
AL
Other
Enumeration date
01/23/2006
Last updated
03/03/2014
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