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Venkata Chandrasekhara Pramo Chavali, MD

Internal Medicine in San Francisco, CA. Individual provider (NPI-1).

NPI number1679101596
StatusActive
Last updated in NPPESOct 31, 2023

Details

NPI
1679101596
Entity type
Individual (NPI-1)
Name
Venkata Chandrasekhara Pramo Chavali
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Mar 27, 2020
Certification date
Oct 31, 2023
Last updated
Oct 31, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine191750CAYes

Practice location

900 Hyde St
San Francisco, CA 94109-4806

Phone 415-353-6000

Mailing address

500 W Fort St
Boise, ID 83702-4501

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