Individual
SURYANARAYANA REDDY CHALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
324 E 10TH AVE STE 100, SALT LAKE CITY, UT 84103-2870
(801) 408-5883
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
14118251-1205
UT
Other
Enumeration date
05/03/2018
Last updated
12/01/2025
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