Individual
DR. KALYAN CHAKRAVARTHY JAGARLAMUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3001 SAINT ROSE PKWY, HENDERSON, NV 89052-3839
(702) 616-5000
Mailing address
3001 SAINT ROSE PKWY, HENDERSON, NV 89052-3839
(702) 616-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
16425
NV
207R00000X
Internal Medicine Physician
49329
AZ
208M00000X
Hospitalist Physician
Primary
16425
NV
208M00000X
Hospitalist Physician
49329
AZ
Other
Enumeration date
07/22/2011
Last updated
07/14/2016
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