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1730708678
SHANTHAN CHOWDARY CHALLA
LAS VEGAS, NV
NPI
1730708678
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-10
Last Update Date
2022-06-28
Business Address
SHANTHAN CHOWDARY CHALLA MD
620 SHADOW LN
LAS VEGAS, NV 89106-4194
Phone number: 702-388-8436
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Mailing Address
SHANTHAN CHOWDARY CHALLA MD
1701 W CHARLESTON BLVD STE 400
LAS VEGAS, NV 89102-2320
Phone number: 702-671-2339
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