Individual
RAJENDRA KAKARLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3920 SOUTHLAND RD, NEW BREMEN, OH 45869
(419) 629-3663
(419) 629-2783
Mailing address
PO BOX 28, NEW BREMEN, OH 45869-0028
(419) 629-3663
(419) 629-2783
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35062730
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000130575
ANTHEM
OH
05
—
0266135
—
OH
01
—
060037363
RR MEDICARE
OH
Enumeration date
03/29/2006
Last updated
05/03/2017
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