Individual
JAYA K CHADALAVADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 ROSALIND REDFERN GROVER PKWY, MIDLAND, TX 79701-5846
(432) 221-1111
Mailing address
4214 ANDREWS HWY STE 240, MIDLAND, TX 79703-4817
(432) 221-5971
(432) 221-5981
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01062851A
IN
207R00000X
Internal Medicine Physician
Primary
P8346
TX
208M00000X
Hospitalist Physician
01062851A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200864110
—
IN
05
—
200864110A
—
IN
Enumeration date
06/07/2007
Last updated
08/15/2022
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