Chandra Kumar Mallic Kodavanti, MD

Individual Active
NPI 1093236580
Critical Care Medicine (Internal Medicine) Physician Dothan, AL

NPI 1093236580 belongs to Chandra Kumar Mallic Kodavanti, MD, a critical care medicine (internal medicine) physician with a practice location in Dothan, AL. The NPI was issued on July 5, 2017, and the record was last updated in NPPES on July 25, 2023. The record lists 3 taxonomy codes. 2 additional practice locations are listed.

Taxonomies and licenses

TaxonomyCodeLicense
Critical Care Medicine (Internal Medicine) Physician Primary 207RC0200X MD.46417 (AL)
Student in an Organized Health Care Education/Training Program 390200000X RS2020-0463 (NM)
Student in an Organized Health Care Education/Training Program 390200000X BP10060414 (TX)

Practice locations

1108 Ross Clark Cir
Dothan, AL 36301-3022
Phone: (334) 703-8836
Msc 10-5550 1 University Of New Mexico
Albuquerque, NM 87131-0001
Phone: (505) 272-4751
701 W 5th St
Odessa, TX 79763-4206
Phone: (432) 703-5375

Local context

Active NPPES records list 6 providers with critical care medicine (internal medicine) physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 55 in Alabama and 7,319 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Chandra Kumar Mallic Kodavanti
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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