Individual
HARIGOVINDA REDDY CHALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
975 E 3RD ST, BOX 376, CHATTANOOGA, TN 37403-2147
(423) 778-6213
(423) 778-6299
Mailing address
975 E 3RD ST, BOX 376, CHATTANOOGA, TN 37403-2147
(423) 778-6213
(423) 778-6299
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
42935
KY
2085P0229X
Pediatric Radiology Physician
50372
TN
2085R0202X
Diagnostic Radiology Physician
Primary
42935
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
321630
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
7100094300
—
KY
05
—
8806895
—
WA
Enumeration date
10/27/2006
Last updated
10/04/2018
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