Organization
SIVAKOTI R KATTA, LLC
Active
Other names
Sivakoti R Katta, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIVAKOTI KATTA MD (PHYSICIAN)
(913) 499-8091
Entity
Organization
Contact information
Practice address
8919 PARALLEL PKWY STE 215, KANSAS CITY, KS 66112-1655
(913) 499-8091
(913) 499-7440
Mailing address
8919 PARALLEL PKWY STE 215, KANSAS CITY, KS 66112-1682
(913) 499-8091
(913) 499-7440
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100206070B
—
KS
Enumeration date
12/20/2017
Last updated
12/07/2023
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