Individual
DR. UTHAIAH P KOKKALERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18350 ROSCOE BLVD, SUITE 213, NORTHRIDGE, CA 91325-4109
(818) 700-7900
(818) 700-7901
Mailing address
PO BOX 33276, GRANADA HILLS, CA 91394-3276
(818) 700-7900
(818) 700-7901
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A100600
CA
Other
Enumeration date
06/10/2006
Last updated
10/01/2007
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