Individual
DR. PRAKASAM KALLURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
815 W POYTHRESS ST, HOPEWELL, VA 23860-2532
(804) 471-7730
(804) 471-7731
Mailing address
815 W POYTHRESS ST, HOPEWELL, VA 23860-2532
(804) 471-7730
(804) 471-7731
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101237849
VA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
0101237849
VA
Other
Enumeration date
06/08/2005
Last updated
11/22/2024
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