Chandra Kumar Mallic Kodavanti, MD
Chandra Kumar Mallic Kodavanti, MD is a Critical Care (Intensivists) in Dothan, Alabama. Qualified in 2011, 15 years ago. Practices with Houston County Healthcare Authority, a 258-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Alabama, New Mexico and Texas.
- Years since qualifying
- 15
- Licensed in
- AL, NM, TX
- In the registry since
- 2017
- Specialties on file
- 3
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1108 Ross Clark CirDothan, AL 36301-3022
Phone: (334) 703-8836
Fax: (334) 712-3512
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- Msc 10-5550 1 University Of New Mexico, Albuquerque, NM 87131-0001 — (505) 272-4751
- 701 W 5th St, Odessa, TX 79763-4206 — (432) 703-5375
Specialties & licences
| Critical Care Medicine (Internal Medicine) Physician (primary) | Taxonomy 207RC0200X · Licence MD.46417 (AL) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence RS2020-0463 (NM) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence BP10060414 (TX) |
Record details
| NPI number | 1093236580 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 5, 2017 |
| Last updated in NPPES | July 25, 2023 |
| Certification date | July 25, 2023 |
Medicare enrollment
| Medicare specialty | CRITICAL CARE (INTENSIVISTS) |
|---|---|
| Medical school | OTHER |
| Graduated | 2011 (15 years in practice) |
| Group practice | Houston County Healthcare Authority — 258 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Dothan
-
Dr. Abdul Haseeb Khatri, MD
1108 Ross Clark Cir Ste 210, Dothan, AL 36301-3022 · (334) 712-3329
-
Dr. Mohamad Ayman Khedari, MD
1108 Ross Clark Cir Ste 210, Dothan, AL 36301-3022 · (334) 712-3329
-
Sudharani Kinthada, MD
1108 Ross Clark Cir Ste 210, Dothan, AL 36301-3022 · (334) 712-3329
-
Dr. Mark Kirk Jr.
4370 W Main St, Dothan, AL 36305-1056 · (334) 793-5000
-
Sarina Kothari, DO
445 Health Sciences Blvd, Dothan, AL 36303-6904 · (334) 699-2266
-
Dr. Tadeus Edward Kowalski, MD
1108 Ross Clark Cir, Dothan, AL 36301-3022 · (334) 793-8087
-
Michael Kreger, MD
1118 Ross Clark Cir Ste 700, Dothan, AL 36301 · (334) 793-5105
-
Nithya Krishnakumaran, MD
1108 Ross Clark Cir Ste 210, Dothan, AL 36301-3022 · (334) 712-3329