Provider Demographics
NPI:1598730640
Name:KAKARLAPUDI, RAMESHKUMAR RAJU (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMESHKUMAR
Middle Name:RAJU
Last Name:KAKARLAPUDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1548 EAST ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-1109
Mailing Address - Country:US
Mailing Address - Phone:530-241-0410
Mailing Address - Fax:530-241-0472
Practice Address - Street 1:1548 EAST ST
Practice Address - Street 2:SUITE B
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-1109
Practice Address - Country:US
Practice Address - Phone:530-241-0410
Practice Address - Fax:530-241-0472
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA51821207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA51821OtherMEDICAL LICENSE
F62589Medicare UPIN