Individual
KALYAN CHAKRAVARTHY KANNEGANTI
Active
Individual
KALYAN CHAKRAVARTHY KANNEGANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
002851
NY
207RG0100X
Gastroenterology Physician
002851
NY
207RG0100X
Gastroenterology Physician
Primary
MD60783086
WA
207RG0100X
Gastroenterology Physician
Q0286
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2096205
—
WA
Enumeration date
06/27/2007
Last updated
12/04/2020
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