Individual
DR. KISHOR KUMAR KALLAHALLI MUNIYAPPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBBS MD
Contact information
Practice address
4012 KELCEY CT STE 103, TALLAHASSEE, FL 32308-5986
(850) 297-0351
(850) 297-0352
Mailing address
4012 KELCEY CT STE 103, TALLAHASSEE, FL 32308-5986
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101240274
VA
207RG0100X
Gastroenterology Physician
Primary
ME120003
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467470583
—
VA
Enumeration date
07/17/2006
Last updated
06/11/2022
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