Individual
DR. KALYAN CHAKRAVARTHY POTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
632 W GIBSON RD, WOODLAND, CA 95695-5169
(530) 668-2600
(530) 669-5439
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0135
SD
207RC0000X
Cardiovascular Disease Physician
Primary
036148458
IL
207RC0000X
Cardiovascular Disease Physician
Primary
C193021
CA
Other
Enumeration date
07/18/2013
Last updated
04/16/2026
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