Individual
DR. PRITHVI KUKKADAPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S
Contact information
Practice address
1104 MONROE ST SW, HUNTSVILLE, AL 35801
(256) 265-5864
(256) 265-5865
Mailing address
PO BOX 2705, HUNTSVILLE, AL 35804-2705
(256) 265-3880
(256) 265-3886
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
37151
AL
207RN0300X
Nephrology Physician
37151
AL
Other
Enumeration date
08/06/2012
Last updated
08/01/2018
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