Organization
CHALLA AJIT, M.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHALLA AJIT M.D. (OWNER)
(937) 568-7070
Entity
Organization
Contact information
Practice address
2355 DERR RD, SPRINGFIELD, OH 45503-2433
(937) 568-7070
(937) 629-3285
Mailing address
2355 DERR RD, SPRINGFIELD, OH 45503-2433
(937) 568-7070
(937) 629-3285
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35082392
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2388269
—
OH
Enumeration date
11/20/2006
Last updated
03/25/2008
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