Organization
AUGLAIZE MERCER CARDIOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJENDRA KAKARLA MD (PRESIDENT)
(419) 629-3663
Entity
Organization
Contact information
Practice address
03920 SOUTHLAND RD, NEW BREMEN, OH 45869-9790
(419) 629-3663
(419) 629-2783
Mailing address
03920 SOUTHLAND RD, NEW BREMEN, OH 45869-9790
(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
05
—
0266135
—
OH
Enumeration date
09/03/2015
Last updated
09/03/2015
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