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NPI Code Detail

MEDICARE: DR. KALAVATHI KOLAPPA MD

MEDICARE: DR. KALAVATHI KOLAPPA MD
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
12084P0800XPsychiatry Physician30562NC

General Provider Information

NPI Number : 1891867115
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KALAVATHI KOLAPPA MD
Provider Business Mailing Address
First Line : 319 NEUSE DR
Second Line :
City : CHOCOWINITY
State : NC
Zip : 27817-8504
Country : US
Telephone Number : 252-975-0992
Fax Number :
Provider Business Practice Location Address
First Line : 1308 HIGHLAND DR
Second Line :
City : WASHINGTON
State : NC
Zip : 27889-3424
Country : US
Telephone Number : 252-946-3666
Fax Number : 252-946-8078
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2006
Last Update Date : 01/10/2022

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