Provider Demographics
NPI:1891867115
Name:KOLAPPA, KALAVATHI (MD)
Entity Type:Individual
Prefix:DR
First Name:KALAVATHI
Middle Name:
Last Name:KOLAPPA
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 1:319 NEUSE DR
Mailing Address - Street 2:
Mailing Address - City:CHOCOWINITY
Mailing Address - State:NC
Mailing Address - Zip Code:27817-8504
Mailing Address - Country:US
Mailing Address - Phone:252-975-0992
Mailing Address - Fax:
Practice Address - Street 1:1308 HIGHLAND DR
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NC
Practice Address - Zip Code:27889-3424
Practice Address - Country:US
Practice Address - Phone:252-946-3666
Practice Address - Fax:252-946-8078
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC305622084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry