Physician Profile

Chandra Kumar Mallic Kodavanti, MD

Unclaimed Profile

About Dr. Kodavanti

Chandra Kumar Mallic Kodavanti, MD practices critical care (intensivists) in Dothan, AL. Chandra Kumar Mallic is also listed as specializing in student in an organized health care education program and critical care medicine. According to Medicare claims data, Chandra Kumar Mallic cared for 240 Medicare patients across 764 services. The services billed most often include critical care, first 30-74 minutes, subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes, and insertion of artery tube for blood sampling or infusion through skin. The provider's National Provider Identifier (NPI) is 1093236580.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

Medical School Other Graduated: 2011

Credentials & Licensing

AL licenceAs reported to the NPI registry
No. MD.46417As reported
NM licenceAs reported to the NPI registry
No. RS2020-0463As reported
TX licenceAs reported to the NPI registry
No. BP10060414As reported
NPINational Provider Identifier
1093236580Issued 2017

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Dr. Kodavanti specialize in?

Dr. Kodavanti is a critical care (intensivists) in Dothan, AL. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Dr. Kodavanti located?

Dr. Kodavanti is listed at 1108 Ross Clark Cir, Dothan, AL 36301. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Dr. Kodavanti's phone number?

The number on file is (334) 703-8836. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Dr. Kodavanti's NPI number?

Dr. Kodavanti's National Provider Identifier is 1093236580. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Dr. Kodavanti go to medical school?

Dr. Kodavanti attended Other, graduating in 2011. This comes from the CMS National Downloadable File.

CMS public data

How long has Dr. Kodavanti been practicing?

Dr. Kodavanti has 15 years experience. Calculated from a graduation year of 2011, reported in the CMS National Downloadable File.

CMS public data

What does Dr. Kodavanti do most often?

According to Medicare billing data, Dr. Kodavanti performs procedures including insertion of artery tube for blood sampling or infusion through skin and insertion of non-tunneled central venous tube for infusion; reads or performs imaging such as ultrasonic guidance for blood vessel access, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Has Dr. Kodavanti confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Dr. Kodavanti. If this is you, claiming it is free.

Guide.md

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