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Individual

MEENAKSHI HEMA KAKARALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
790 CHURCH ST NE, SUITE 250, MARIETTA, GA 30060-7282
(678) 797-8201
Mailing address
790 CHURCH ST NE, SUITE 250, MARIETTA, GA 30060-7282
(678) 797-8201

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
61974
GA
207R00000X
Internal Medicine Physician
ME80724
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2508903
AETNA HMO
05
260861800
FL
01
3764898001
CIGNA
Enumeration date
11/02/2005
Last updated
04/19/2011
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