Individual
AVANTIKA CHENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
01088497A
IN
207RN0300X
Nephrology Physician
077578
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/05/2012
Last updated
02/01/2023
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