Individual
DR. VENU BABU KAKARALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1169 HIGHWAY 19 STE B, SLAUGHTER, LA 70777-3404
(225) 570-2257
(225) 286-4078
Mailing address
1169 HIGHWAY 19 STE B, SLAUGHTER, LA 70777-3404
(225) 570-2257
(225) 286-4078
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13643R
LA
261QR1300X
Rural Health Clinic/Center
13643R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1569097
—
LA
Enumeration date
07/01/2005
Last updated
01/25/2022
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