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NPI Code Detail

MEDICARE: DR. SREELATHA KAKARALA M.D.

MEDICARE:  DR. SREELATHA  KAKARALA  M.D.
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
1207R00000XInternal Medicine PhysicianME0073878FL

General Provider Information

NPI Number : 1891757662
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SREELATHA KAKARALA M.D.
Provider Business Mailing Address
First Line : 712 53RD AVE E
Second Line :
City : BRADENTON
State : FL
Zip : 34203-5827
Country : US
Telephone Number : 941-755-2456
Fax Number :
Provider Business Practice Location Address
First Line : 712 53RD AVE E
Second Line :
City : BRADENTON
State : FL
Zip : 34203-5827
Country : US
Telephone Number : 941-755-2456
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2006
Last Update Date : 03/07/2023

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Directions to “ DR. SREELATHA KAKARALA M.D.” Practice Location

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