Individual
DR. SHARAT C KALVAKOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4000 MIAMISBURG CENTERVILLE RD STE 450, MIAMISBURG, OH 45342-3908
(937) 560-2011
(937) 562-2012
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1310
(937) 522-8068
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35-04-5600
OH
208800000X
Urology Physician
35045600
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0450284
—
OH
Enumeration date
10/19/2006
Last updated
01/25/2024
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