Provider Demographics
NPI:1699811620
Name:KAKARLA, RAJYALAKSHMI (MD)
Entity Type:Individual
Prefix:
First Name:RAJYALAKSHMI
Middle Name:
Last Name:KAKARLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7999 W VIRGINIA DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75237-3765
Mailing Address - Country:US
Mailing Address - Phone:972-296-4777
Mailing Address - Fax:972-296-5499
Practice Address - Street 1:7999 W VIRGINIA DR
Practice Address - Street 2:SUITE A
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237-3765
Practice Address - Country:US
Practice Address - Phone:972-296-4777
Practice Address - Fax:972-296-5499
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG0736207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX036227901Medicaid
TX036227901Medicaid
TX8L17089Medicare PIN