Individual
MAMATHA CHALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
1346 S 46TH ST, PHILADELPHIA, PA 19143-3804
(708) 557-7788
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD479469
PA
Other
Enumeration date
03/20/2017
Last updated
09/30/2022
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