Individual
DR. RAHUL KUMAR CHALLAPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6811 PORTO FINO CIR, FORT MYERS, FL 33912-4354
(239) 208-6648
(239) 931-0221
Mailing address
4820 GRIFFIN BLVD, FORT MYERS, FL 33908-2016
(239) 208-6648
(239) 931-0221
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
181218
NY
207RP1001X
Pulmonary Disease Physician
181218
NY
207RP1001X
Pulmonary Disease Physician
Primary
ME0105017
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001870100
—
FL
01
—
145Z6
BCBS
FL
Enumeration date
01/11/2006
Last updated
06/28/2024
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