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NPI 1134243439

NPI 1134243439 : SUDHIR P KAKARLA MD : BAKERSFIELD, CA

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General NPI Number Information
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    NPI Number           |    1134243439
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    Entity Type          |    Individual 
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    Provider Name        |    SUDHIR P KAKARLA MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/19/2007
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    Last Update Date     |    02/12/2025
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Provider Practice Location Address
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    Address Line         |    4550 CALIFORNIA AVE 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93309-7012
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    Country              |    US
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    Telephone            |    661-336-0920
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    Fax                  |    661-377-0781
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Provider Business Mailing Address
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    Address Line         |    2828 H ST STE F
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93301-1900
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    Country              |    US
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    Telephone            |    661-325-2015
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    Fax                  |    661-325-2030
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RG0300X
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    Taxonomy Name        |    Geriatric Medicine (Internal Medicine) Physician
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    License Number       |    A79473
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    A79473
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    License Number State |    CA
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