Kakkilaya, Harshila

Kakkilaya, Harshila is an individual health care provider with primary practice located at 499 Beckett Rd Suite 202, Logan Township NJ 08085-1766. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kakkilaya, Harshila can be contacted via phone (856) 241-2090.

Contact Information

Primary practice address
499 Beckett Rd Suite 202 Logan Township NJ 08085-1766
Fax: (856) 241-2099
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA08271600 New Jersey

Profile Details

NPI number 1326231242
LBN Legal business name Kakkilaya, Harshila
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2007
Last updated Oct 2nd, 2009 - about 15 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 1326231242 NPPES
New Jersey MEDICAID 0151955

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