Individual
MRS. DEEPTHI C. KURAKULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 S TILLOTSON AVE, MUNCIE, IN 47304-4529
(765) 281-2000
(765) 281-2062
Mailing address
800 S TILLOTSON AVE, MUNCIE, IN 47304-4529
(765) 281-2000
(765) 281-2062
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
2013017840
MO
390200000X
Student in an Organized Health Care Education/Training Program
57-018714
OH
Other
Enumeration date
10/27/2010
Last updated
09/01/2015
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