Individual
DR. SUMANA KAKIVAYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
113 SEATON CIR, MONTGOMERY, AL 36116-7200
(813) 856-3196
Mailing address
113 SEATON CIR, MONTGOMERY, AL 36116-7200
(813) 856-3196
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.30381
AL
282N00000X
General Acute Care Hospital
MD30381
AL
Other
Enumeration date
08/04/2008
Last updated
12/09/2019
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