Muniyappa, Kishor Kumar Kallahalli

Muniyappa, Kishor Kumar Kallahalli is an sole proprietor health care provider with primary practice located at 4012 Kelcey Ct Ste 103 , Tallahassee FL 32308-5986. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Muniyappa, Kishor Kumar Kallahalli can be contacted via phone (850) 297-0351.

Contact Information

Primary practice address
4012 Kelcey Ct Ste 103 Tallahassee FL 32308-5986
Phone: (850) 297-0351
Fax: (850) 297-0352
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101240274 Virginia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Virginia
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME120003 Florida

Profile Details

NPI number 1467470583
LBN Legal business name Muniyappa, Kishor Kumar Kallahalli
Credentials MBBS MD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Jun 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467470583 NPPES
Virginia MEDICAID 1467470583

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