Dadireddy, Kalyan Chakravarthy

Dadireddy, Kalyan Chakravarthy is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-0846. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Dadireddy, Kalyan Chakravarthy can be contacted via phone (352) 273-8670.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-0846
Fax:
Website:

Health care specialties

Profile Details

NPI number 1760823595
LBN Legal business name Dadireddy, Kalyan Chakravarthy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2013
Last updated Oct 25th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760823595 NPPES
Missouri MEDICAID 1760823595
Missouri MEDICAID 09037091
Missouri MEDICAID Q030638
Missouri MEDICAID 223093001

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