Individual
JYOTHI KAKUTURU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2227 OLD EMMORTON RD STE 220, BEL AIR, MD 21015-6189
(410) 569-9040
Mailing address
2227 OLD EMMORTON RD STE 220, BEL AIR, MD 21015-6189
(410) 569-9040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H0104151
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/28/2022
Last updated
08/20/2025
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