Individual
JNANA ADITYA CHALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 S GREENE ST DEPT OF, BALTIMORE, MD 21201-1544
(410) 328-8667
Mailing address
22 S GREENE ST DEPT OF, BALTIMORE, MD 21201-1544
(410) 328-8667
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
D98562
MD
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MI
Other
Enumeration date
03/23/2022
Last updated
09/21/2023
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