Individual
DR. RADHIKA PRASAD KAKARLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
85 OLD EAGLE SCHOOL RD, 101, STRAFFORD, PA 19087-2544
(610) 971-9461
(610) 688-4490
Mailing address
85 OLD EAGLE SCHOOL RD, STRAFFORD, PA 19087-2544
(610) 971-9461
(610) 688-4490
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
L1902
TX
207V00000X
Obstetrics & Gynecology Physician
Primary
MD428592
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147917201
—
TX
01
—
2386281
AETNA INSURANCE CO
TX
01
—
243721
AMERIGROUP
TX
01
—
89301X
BCBS INSURANCE CO
TX
01
—
A007
TRICARE
TX
01
—
L1902
UNICARE
TX
Enumeration date
09/09/2005
Last updated
01/15/2014
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