Kokkirala, Aravind Rao

Kokkirala, Aravind Rao is an individual health care provider with primary practice located at 164 Summit Ave , Providence RI 02906-2853. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Kokkirala, Aravind Rao can be contacted via phone (860) 545-1559.

Contact Information

Primary practice address
164 Summit Ave Providence RI 02906-2853
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 043983 Connecticut
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD16358 Rhode Island

Profile Details

NPI number 1235116864
LBN Legal business name Kokkirala, Aravind Rao
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 24th, 2005
Last updated Nov 7th, 2018 - about 6 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 1235116864 NPPES
Connecticut MEDICAID 001439835

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