Individual
KASI CHAKRAVARTULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
397 ADAMS ST, OAKLAND, CA 94610-3131
(510) 759-6380
Mailing address
397 ADAMS ST, OAKLAND, CA 94610-3131
(510) 759-6380
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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