Organization
CHALLA'S CITRUS & MARION GERIATRICS ASSOC., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANIMI R CHALLA MD (PRESIDENT)
(352) 274-1622
Entity
Organization
Contact information
Practice address
9920 SW 84TH CT, OCALA, FL 34481-9118
(352) 873-1100
Mailing address
134 NW 88TH TER, GAINESVILLE, FL 32607-1454
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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