Individual
DR. KRISHNA SIVA SAI KAKKERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
10001 LILE DR, LITTLE ROCK, AR 72205-6217
(501) 552-0500
Mailing address
10001 LILE DR, LITTLE ROCK, AR 72205-6217
(501) 224-1690
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E-11175
AR
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
E-11175
AR
207RP1001X
Pulmonary Disease Physician
Primary
E-11175
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
229341001
—
AR
Enumeration date
08/03/2012
Last updated
03/04/2025
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