MEDICARE: RAJYALAKSHMI KAKARLA 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
1	207V00000X	Obstetrics & Gynecology Physician	G0736	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1699811620
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAJYALAKSHMI KAKARLA MD

Provider Business Mailing Address
First Line	:	7999 W VIRGINIA DR
Second Line	:	SUITE A
City	:	DALLAS
State	:	TX
Zip	:	75237-3765
Country	:	US
Telephone Number	:	972-296-4777
Fax Number	:	972-296-5499

Provider Business Practice Location Address
First Line	:	7999 W VIRGINIA DR
Second Line	:	SUITE A
City	:	DALLAS
State	:	TX
Zip	:	75237-3765
Country	:	US
Telephone Number	:	972-296-4777
Fax Number	:	972-296-5499

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	03/26/2010

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