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Individual
MR. SHYAM K. AKKULUGARI
Active
Individual
MR. SHYAM K. AKKULUGARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD., MPH
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0434165
KS
207P00000X
Emergency Medicine Physician
2006018690
MO
207P00000X
Emergency Medicine Physician
35929
IA
207Q00000X
Family Medicine Physician
0434165
KS
207Q00000X
Family Medicine Physician
Primary
2006018690
MO
207Q00000X
Family Medicine Physician
35929
IA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
0434165
KS
207QG0300X
Geriatric Medicine (Family Medicine) Physician
2006018690
MO
207QG0300X
Geriatric Medicine (Family Medicine) Physician
35929
IA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
0434165
KS
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
2006018690
MO
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
35929
IA
Other
Enumeration date
08/26/2005
Last updated
12/07/2020
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