Individual
MYDHILI CHALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 HWY 70 E, DICKSON, TN 37055-2080
(615) 446-0446
Mailing address
111 HIGHWAY 70 E, DICKSON, TN 37055-2080
(615) 740-3426
(615) 441-9615
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
41058
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
TN
Enumeration date
06/01/2006
Last updated
03/17/2009
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