Individual
DR. JAGADEESH KUMAR KALAVAKUNTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
360 E CHICAGO ST, COLDWATER, MI 49036-2074
(269) 226-5050
Mailing address
5943 STADIUM DR, KALAMAZOO, MI 49009-3016
(269) 552-2836
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301091982
MI
207RC0000X
Cardiovascular Disease Physician
4301091982
MI
207RI0011X
Interventional Cardiology Physician
Primary
4301091982
MI
Other
Enumeration date
06/04/2008
Last updated
06/15/2015
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