Individual
UDAYA KUMAR KAKARLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2910 N 3RD AVE, PHOENIX, AZ 85013
(602) 406-3580
(602) 406-3493
Mailing address
2910 N 3RD AVE, PHOENIX, AZ 85013-4434
(602) 406-3580
(602) 406-3493
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
43049
AZ
207XP3100X
Pediatric Orthopaedic Surgery Physician
43049
AZ
207XS0117X
Orthopaedic Surgery of the Spine Physician
43049
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
523285
—
AZ
Enumeration date
11/07/2007
Last updated
04/14/2020
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