Individual
RADHAKRISHNA KUKKILLAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
38 HOSPITAL DR, LOGAN, WV 25601-3452
(304) 792-6282
(304) 792-6290
Mailing address
PO BOX 58187, CHARLESTON, WV 25358-0187
(304) 792-6282
(304) 792-6290
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18738
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0079677000
—
WV
Enumeration date
04/14/2006
Last updated
01/24/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us