Kakkilaya, Venkatakrishna

Kakkilaya, Venkatakrishna is an individual health care provider with primary practice located at Department Of Pediatrics 5323 Harry Hines Blvd, Dallas TX 75390-9063. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Kakkilaya, Venkatakrishna can be contacted via phone (214) 648-3903.

Contact Information

Primary practice address
Department Of Pediatrics 5323 Harry Hines Blvd Dallas TX 75390-9063
Fax: (214) 648-2481
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X N9078 Texas

Profile Details

NPI number 1386855161
LBN Legal business name Kakkilaya, Venkatakrishna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Oct 7th, 2011 - about 14 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 1386855161 NPPES
Texas MEDICAID 280151602

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