Organization
PERMIAN PATHOLOGY ASSOC
Active
Organization
PERMIAN PATHOLOGY ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRIS CHALLAPALLI MD (DIRECTOR)
(432) 333-2934
Entity
Organization
Contact information
Practice address
500 ADAMS AVE, STE 400, ODESSA, TX 79761
(432) 333-2934
(432) 333-3719
Mailing address
500 ADAMS AVE, STE 400, ODESSA, TX 79761
(432) 333-2934
(432) 333-3719
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
E5030
TX
207ZC0500X
Cytopathology Physician
Primary
L2372
TX
207ZP0101X
Anatomic Pathology Physician
E5030
TX
207ZP0101X
Anatomic Pathology Physician
L2372
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8563N0
BCBS
TX
01
—
8563N1
BCBS
TX
Enumeration date
01/17/2007
Last updated
09/11/2025
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