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Individual

SRIVIDYA KAKULAVARAPU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 765-4050
(225) 765-4046
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-4050
(225) 765-9196

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
346449
LA
207R00000X
Internal Medicine Physician
OS21913
FL
208M00000X
Hospitalist Physician
Primary
346449
LA

Other

Enumeration date
04/03/2022
Last updated
08/22/2025
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