Individual
VAMSIDHAR CHAVAKULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3750 CONVOY ST STE 301, SAN DIEGO, CA 92111-3741
(619) 297-4481
Mailing address
3750 CONVOY ST STE 301, SAN DIEGO, CA 92111-3741
(619) 297-4481
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
271481
MA
207T00000X
Neurological Surgery Physician
Primary
A169139
CA
Other
Enumeration date
04/24/2012
Last updated
06/16/2021
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