Individual
PAVAN KUMAR CHALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
100 JEFFERSON SQ APT 5D, WATERBURY, CT 06706-1135
(972) 215-9300
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
70680
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2019
Last updated
06/29/2022
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