Individual provider · Type 1 NPI

Shanthan Chowdary Challa, MD

Student in an Organized Health Care Education/Training Program · Las Vegas, NV

NPI number 1730708678 Active

Practice location

620 Shadow Ln
Las Vegas, NV 89106-4194

Fax (702) 385-9399

Mailing address

1701 W Charleston Blvd Ste 400
Las Vegas, NV 89102-2320

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1730708678

Shanthan Chowdary Challa, MD's National Provider Identifier is 1730708678, issued on Apr 10, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Las Vegas, NV. The record was last updated on Jun 28, 2022.