Individual
DR. CHANDRA MOULI PALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-6665
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1310
(937) 522-8068
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.127461
OH
207R00000X
Internal Medicine Physician
MT198865
PA
207R00000X
Internal Medicine Physician
P8968
TX
208M00000X
Hospitalist Physician
Primary
35.127461
OH
Other
Enumeration date
08/10/2011
Last updated
05/05/2023
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