Individual
ABHISHEK CHALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11212 STATE HIGHWAY 151 MEDICAL PLAZA, 1, SUITE 250, SAN ANTONIO, TX 78251-4507
(210) 614-1234
Mailing address
PO BOX 206239, DALLAS, TX 75320-6239
(210) 614-1234
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
7322
NE
207RG0100X
Gastroenterology Physician
Primary
94-09778
KS
Other
Enumeration date
06/25/2014
Last updated
06/03/2022
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