Individual
DR. SIVARAMA KOTIKALAPUDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 ASBURY CIR, HATTIESBURG, MS 39402-1302
(601) 450-2034
(601) 450-2035
Mailing address
101 ASBURY CIR, SOUTHERN STAR MEDICAL GROUP, HATTIESBURG, MS 39402-1302
(601) 450-2034
(601) 450-2035
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18593
MS
Other
Enumeration date
06/09/2006
Last updated
01/25/2016
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