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NPI Code Detail

MEDICARE: SWAPNA P KAKARLA

MEDICARE:   SWAPNA P KAKARLA
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 Dentistry30-022309OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063461267
Entity Type Code : Individual
Provider Name (Legal Business Name) : SWAPNA P KAKARLA
Provider Business Mailing Address
First Line : 415 N GRAND AVE
Second Line :
City : PUEBLO
State : CO
Zip : 81003-3111
Country : US
Telephone Number : 719-546-3333
Fax Number :
Provider Business Practice Location Address
First Line : 1520 BROADWAY ST
Second Line :
City : TOLEDO
State : OH
Zip : 43609-2855
Country : US
Telephone Number : 419-255-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2006
Last Update Date : 07/09/2007

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Directions to “ SWAPNA P KAKARLA ” Practice Location

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