Search › Alabama › 207RC0200X
Chandra Kumar Mallic Kodavanti, MD
NPI 1093236580 · on the registry since 2017
Practice
- Address
- 1108 Ross Clark Cir
Dothan, AL 36301 - Phone
- (334) 703-8836
- Fax
- (334) 712-3512
- Organisation at this address
- W David Hewitt
Wiregrass Life Flight
Medcore Diagnostics Llc
Medcore Associates, Pllc
Noland Hospital Dothan Ii, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 274
Additional practice sites
- Msc 10-5550 1 University Of New Mexico, Albuquerque, NM
- 701 W 5th St, Odessa, TX
Registry record
- Primary taxonomy
- 207RC0200X
207RC0200X
- Also registered as
- 390200000X
390200000X - Licence states on file
- NM, TX, AL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama