Chaithanya Mallikarjun, MD
Internal Medicine, Gastroenterology in San Antonio, TX. Individual provider (NPI-1).
NPI number1114101904
StatusActive
Last updated in NPPESNov 20, 2014
Details
- NPI
- 1114101904
- Entity type
- Individual (NPI-1)
- Name
- Chaithanya Mallikarjun
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 28, 2007
- Last updated
- Nov 20, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | P9220 | TX | Yes |
| 207RI0008X | Internal Medicine, Hepatology | MD.201765 | LA |
Practice location
19284 Stone Oak Pkwy104
San Antonio, TX 78258-3473
Phone 210-268-0124
Mailing address
19284 Stone Oak Pkwy104
San Antonio, TX 78258-3473
Phone 210-598-4730
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