Amy Kakkanatt
Internist Pediatric Endocrinologist
1204 W Main St
Charlottesville
, Virginia 22903-2824
Amy Kakkanatt
Internist Pediatric Endocrinologist
1204 W Main St
Charlottesville
, Virginia 22903-2824
(434) 295-1000
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About
Features
Specialties
- Internist
- Pediatric Endocrinologist
Languages spoken
- English
Location
First Address
- Amy Kakkanatt
- Po Box 9007
- Charlottesville, VA
- Zip : 22906-9007
- Phone : (434) 295-1000
Second Address
- Amy Kakkanatt
- 1204 W Main St
- Charlottesville, VA
- Zip : 22903-2824
- Fax : (434) 243-3300
- Phone : (434) 924-0123
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 4301097290 | MI |
| N | 111NI0900X | Internist | 4301097290 | MI |
| Y | 2080P0205X | Pediatric Endocrinologist | 0101264932 | VA |
National Provider Identifier
| NPI | 1164734570 |
|---|---|
| Provider Name | Amy Kakkanatt |
| First Address | Charlottesville, VA 22906-9007 |
| Second Address | Charlottesville, VA 22903-2824 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/07/2010 |
| Last Update Date | 13/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.