Individual
KALYANA CHAKRAVARTHI SARVEPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-6000
Mailing address
730 S CLARK ST APT 1212, CHICAGO, IL 60605-1746
(248) 949-5868
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125071660
IL
Other
Enumeration date
07/01/2018
Last updated
07/01/2018
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