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1548230113
CHANDANA VAVILALA
CROWN POINT, IN
NPI
1548230113
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IN 01057596A)
Enumeration Date
2006-01-25
Last Update Date
2024-11-14
Business Address
CHANDANA VAVILALA MD
1205 S MAIN ST STE 201
CROWN POINT, IN 46307-3677
Phone number: 219-769-8340
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Mailing Address
CHANDANA VAVILALA MD
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800
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