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Individual

PROF. JOGA RAO CHAGANTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, FRANZCR, PHD

Contact information

Practice address
132 S 10TH STREETS, MAIN BUIDING, PHILADELPHIA, PA 19107
(215) 955-2998
Mailing address
1414 S PENN SQ UNIT 33H, PHILADELPHIA, PA 19102-2551
(484) 332-4145

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
MD479873
PA

Other

Enumeration date
07/14/2023
Last updated
07/19/2023
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