Kakulavaram, Amitha
Kakulavaram, Amitha is an individual health care provider with primary practice located at 44200 Woodward Ave Ste 209 , Pontiac MI 48341-5045. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Kakulavaram, Amitha can be contacted via phone (248) 253-0330.Contact Information
Primary practice address
44200 Woodward Ave Ste 209
Pontiac MI 48341-5045
Phone: (248) 253-0330
Fax: (248) 253-1982
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 4301084121 | Michigan |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301084121 | Michigan |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 4301084121 | Michigan |
Profile Details
| NPI number | 1720267800 |
|---|---|
| LBN Legal business name | Kakulavaram, Amitha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2007 |
| Last updated | Jun 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720267800 | NPPES |
| Michigan | MEDICAID | 1720267800 |
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