Individual
RAKESH CHADALAVADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 E. BRIN STREET, TERRELL, TX 75160
(972) 524-6452
Mailing address
PO BOX 70, TERRELL, TX 75160-9000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
L7326
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179519701
—
TX
Enumeration date
09/01/2006
Last updated
09/08/2008
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