Tallapaneni, Kavitha

Tallapaneni, Kavitha is an individual health care provider with primary practice located at 615 S Preston St , Louisville KY 40202. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Tallapaneni, Kavitha can be contacted via phone (502) 852-5757.

Contact Information

Primary practice address
615 S Preston St Louisville KY 40202
Phone: (502) 852-5757
Fax: (502) 852-7643
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 34801 Kentucky
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 34801 Kentucky

Profile Details

NPI number 1184620031
LBN Legal business name Tallapaneni, Kavitha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Oct 11th, 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 1184620031 NPPES
Kentucky MEDICAID 64062342
Kentucky Other 000000185262
Kentucky Other K088322
Kentucky MEDICAID 300018420

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