Provider Demographics
NPI:1417663550
Name:KAKUTURU, RAJARAO V (PHD)
Entity Type:Individual
Prefix:
First Name:RAJARAO
Middle Name:V
Last Name:KAKUTURU
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:KAKUTURU
Other - Middle Name:V
Other - Last Name:RAO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:145 EAST BADGER ROAD
Mailing Address - Street 2:EXACT SCIENCES
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53713
Mailing Address - Country:US
Mailing Address - Phone:608-630-3209
Mailing Address - Fax:
Practice Address - Street 1:145 EAST BADGER ROAD
Practice Address - Street 2:EXACT SCIENCES
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53713
Practice Address - Country:US
Practice Address - Phone:608-630-3209
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physician