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Individual

DR. KAPILA KALAKOTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
125.056354
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036-135657
IL
01
558620
MEDICARE PROVIDER NUMBER
IL
01
778401
MEDICARE PROVIDER NUMBER
IL
Enumeration date
06/24/2009
Last updated
12/27/2021
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