Individual
JONDI KAKUBERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
640 S STATE ST, DOVER, DE 19901-3530
(302) 744-7914
Mailing address
507 CIRCLE DR, HAVERTOWN, PA 19083-1813
(610) 357-9647
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
278628
NY
207L00000X
Anesthesiology Physician
Primary
C10008828
DE
207L00000X
Anesthesiology Physician
MD441469
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871641126
—
DE
Enumeration date
01/05/2007
Last updated
03/23/2026
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