Individual
DR. CHANDRA KANTH ALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25195 KELLY RD STE A, ROSEVILLE, MI 48066-5084
(586) 775-4594
(586) 775-4506
Mailing address
25195 KELLY RD STE A, ROSEVILLE, MI 48066-5084
(586) 775-4594
(586) 775-4506
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301090225
MI
207RC0000X
Cardiovascular Disease Physician
Primary
4301090225
MI
208M00000X
Hospitalist Physician
4301090225
MI
Other
Enumeration date
09/11/2007
Last updated
07/11/2024
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