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Individual

KALYAN CHAKRAVARTHY VUNNAMADALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1923 S UTICA AVE FL 5, TULSA, OK 74104-6520
(918) 712-3366
(918) 403-6343
Mailing address
920 E 1ST ST STE 303, DULUTH, MN 55805-2225
(218) 249-6050
(218) 249-6055

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
12011
SD
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
44780
OK
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
73347
AZ
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD-42919
IA

Other

Enumeration date
03/20/2007
Last updated
01/13/2025
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