Individual
DR. KALYAN CHAKRALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
540 W 5TH ST STE 300, ODESSA, TX 79761
(432) 640-3007
(432) 640-2708
Mailing address
PO BOX 2129, ODESSA, TX 79760-2129
(432) 640-3007
(432) 640-2708
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
N5612
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
335941602
—
TX
Enumeration date
03/09/2010
Last updated
09/14/2018
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