Organization
LASER NECK AND BACK CENTER LLC
Active
Organization
LASER NECK AND BACK CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJ V KAKARLAPUDI MD (OWNER)
(859) 446-3106
Entity
Organization
Contact information
Practice address
10475 READING RD STE 115, CINCINNATI, OH 45241-2500
(937) 000-0000
(937) 000-0000
Mailing address
77 W ELMWOOD DR STE 211, DAYTON, OH 45459-4263
(000) 000-0000
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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