Individual
PRAVALLIKA CHADALAVADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 S FAIRVIEW RD, COLUMBIA, MO 65203-7637
(573) 884-7600
(573) 884-8200
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.245095
OH
207RG0100X
Gastroenterology Physician
Primary
2024010349
MO
Other
Enumeration date
10/16/2017
Last updated
05/02/2024
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