Individual
DR. VISHNU CHALLAPALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 LACE PT, SPRING, TX 77382-1703
(585) 203-7308
Mailing address
3 LACE PT, SPRING, TX 77382-1703
(585) 203-7308
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
182242-1
NY
2084P0804X
Child & Adolescent Psychiatry Physician
Q8702
TX
273R00000X
Psychiatric Hospital Unit
Primary
Q8702
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007632375
AETNA
—
05
—
01579840
—
NY
01
—
102641EU
PREFERRED CARE
—
01
—
P010182242
BCBS
—
Enumeration date
04/10/2006
Last updated
11/10/2023
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