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Individual
PAVITHRA KAKUMANU
Active
Individual
PAVITHRA KAKUMANU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
241909
NY
207R00000X
Internal Medicine Physician
Primary
MD047996
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
241909
LICENSE
NY
01
—
MD047996
DC MEDICAL LICENSE
DC
Enumeration date
06/28/2007
Last updated
02/20/2025
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