Individual
PALLAVI KAKULAVAR
Active
Individual
PALLAVI KAKULAVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
M1810
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175943302
—
TX
01
—
8CD607
BCBS
TX
01
—
P00821763
PALMETTO GPA-RAILROAD MEDICARE
TX
Enumeration date
03/27/2006
Last updated
07/12/2022
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