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NPI Code Detail

MEDICARE: RENUKA KUCHERLAPATI

MEDICARE: RENUKA KUCHERLAPATI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry108599CA

General Provider Information

NPI Number : 1275230690
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENUKA KUCHERLAPATI
Provider Business Mailing Address
First Line : 478 TYLER ST
Second Line :
City : MONTEREY
State : CA
Zip : 93940-3081
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 230 RESERVATION RD
Second Line :
City : MARINA
State : CA
Zip : 93933-3083
Country : US
Telephone Number : 831-900-4435
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2023
Last Update Date : 02/15/2023

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Directions to “ RENUKA KUCHERLAPATI ” Practice Location

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