Individual
SRITA CHAKKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42600 MIRAGE RD, RANCHO MIRAGE, CA 92270-4127
(760) 423-4000
Mailing address
42600 MIRAGE RD, RANCHO MIRAGE, CA 92270-4127
(760) 423-4000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A196200
CA
Other
Enumeration date
03/23/2020
Last updated
11/20/2024
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