Individual
TARUN KUKKADAPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
1104 MONROE ST SW, HUNTSVILLE, AL 35801-5029
(256) 265-5864
(256) 265-5865
Mailing address
PO BOX 2705, HUNTSVILLE, AL 35804-2705
(256) 265-5864
(256) 265-5865
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
38521
AL
207RP1001X
Pulmonary Disease Physician
38521
AL
Other
Enumeration date
06/25/2013
Last updated
09/20/2019
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