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Individual
PAVAN KAKARLA
Active
Individual
PAVAN KAKARLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4301515138
MI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4351050300
MI
Other
Enumeration date
06/06/2022
Last updated
02/02/2026
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