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Dr. KETHANDAPATTI CHAKRAVARTHY BALAJI MBBS

Individual Provider (NPI-1) Active

Urology

Provider Information

NPI Number
1558314484
Provider Type
Individual Provider (NPI-1)
Credentials
MBBS
Status
Active

Contact & Location

Address
655 W 8TH ST, JACKSONVILLE, FL, 322096511
Phone
(904) 383-1016

Specialties & Taxonomies

Urology License: NC #2010-01458
Urology Primary License: FL #ME137242

All Addresses

MAILING

PO BOX 44008

JACKSONVILLE, FL, 322314008

(904) 383-1016

LOCATION

655 W 8TH ST

JACKSONVILLE, FL, 322096511

(904) 383-1016