Individual
DR. VENKATA RAVINDRA KAKARLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
631 PROFESSIONAL DR STE 300, LAWRENCEVILLE, GA 30046-3371
(770) 962-9977
(770) 339-9804
Mailing address
631 PROFESSIONAL DR STE 300, LAWRENCEVILLE, GA 30046-3371
(770) 962-9977
(770) 339-9804
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036128021
IL
208600000X
Surgery Physician
Primary
88142
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/09/2009
Last updated
06/30/2021
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