Provider Demographics
NPI:1912092123
Name:DIGAVALLI, KAMALA S (MD)
Entity Type:Individual
Prefix:DR
First Name:KAMALA
Middle Name:S
Last Name:DIGAVALLI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4052 SHADY HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:KY
Mailing Address - Zip Code:42420-9270
Mailing Address - Country:US
Mailing Address - Phone:812-465-6271
Mailing Address - Fax:812-465-6286
Practice Address - Street 1:500 E WALNUT ST
Practice Address - Street 2:DEPARTMENT OF VETERANS AFFAIRS-OUTPATIENT CLINIC
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47713-2438
Practice Address - Country:US
Practice Address - Phone:812-465-6271
Practice Address - Fax:812-465-6286
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA06790100207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine