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CHAITANYA LAKSHMIDHAR MALLADI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9434 MEDICAL CENTER DR, LA JOLLA, CA 92037-1337
(858) 657-8530
Mailing address
9500 GILMAN DRIVE, MAIL CODE 7411, SAN DIEGO, CA 92037-7411

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A186034
CA
390200000X
Student in an Organized Health Care Education/Training Program
TX

Other

Enumeration date
03/24/2020
Last updated
07/10/2023
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