Individual provider · Type 1 NPI

Venkata Siva Dilisha Chandanala, MD

Student in an Organized Health Care Education/Training Program · Griffin, GA

NPI number 1841035896 Active

Practice location

601 S 8th St
Griffin, GA 30224-4213

Call (470) 604-8250 Map

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 1841035896

Venkata Siva Dilisha Chandanala, MD's National Provider Identifier is 1841035896, issued on Jun 29, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Griffin, GA. The record was last updated on Oct 22, 2025.