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NPI Code Detail

MEDICARE: SIVA MOHAN KROTHAPALLI

MEDICARE: SIVA MOHAN KROTHAPALLI
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
1207RC0001XClinical Cardiac Electrophysiology Physician41376AL

General Provider Information

NPI Number : 1790913382
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIVA MOHAN KROTHAPALLI
Provider Business Mailing Address
First Line : 1717 6TH AVE S
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35233-1801
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2100 CENTERVILLE RD
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-4379
Country : US
Telephone Number : 850-216-0100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2009
Last Update Date : 02/19/2025

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Directions to “ SIVA MOHAN KROTHAPALLI ” Practice Location

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