Kakarala, Renuka

Kakarala, Renuka is an individual health care provider with primary practice located at 904 Campbell St Suite 102, Williamsport PA 17701-3154. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kakarala, Renuka can be contacted via phone (570) 321-2284.

Contact Information

Primary practice address
904 Campbell St Suite 102 Williamsport PA 17701-3154
Phone: (570) 321-2284
Fax: (570) 321-2477
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD423674 Pennsylvania

Profile Details

NPI number 1417012030
LBN Legal business name Kakarala, Renuka
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Feb 6th, 2013 - about 12 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 1417012030 NPPES
Pennsylvania MEDICAID 1021943900001
Pennsylvania Other 9849152
Pennsylvania Other 1646618
Pennsylvania Other 003172

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