Individual
CHAITANYA ANANTHAVISWA ALLIKAYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
3636 HIGH ST, PORTSMOUTH, VA 23707-3236
(757) 398-2285
(757) 397-5368
Mailing address
PO BOX 639971, CINCINNATI, OH 45263-9971
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
0101281169
VA
208M00000X
Hospitalist Physician
57411
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2014
Last updated
04/18/2024
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