Individual
JYOTHI CHALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
148 W NORTH ST, SPRINGFIELD, OH 45504-2547
(937) 323-5001
(937) 684-9991
Mailing address
148 W NORTH ST, SPRINGFIELD, OH 45504-2547
(937) 323-5001
(937) 684-9991
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.009463
OH
207RH0003X
Hematology & Oncology Physician
Primary
35.090143
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2867947
—
OH
Enumeration date
10/27/2006
Last updated
09/19/2025
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