Individual
CHAKRI GAVVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 CEDAR ST SE STE 4620, ALBUQUERQUE, NM 87106-4922
(505) 563-1309
Mailing address
PO BOX 26666, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD2018-0074
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2013
Last updated
03/07/2025
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