Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 35.096872 | OH |
N | 207X00000X | Orthopaedic Surgeon | 43897 | KY |
N | 207XS0117X | Orthopaedic Spine Surgeon | 35.096872 | OH |
N | 207XS0117X | Orthopaedic Spine Surgeon | 43897 | KY |
NPI | 1336251388 |
---|---|
Provider Name | Raj Verrabhadra Kakarlapudi |
First Address | Dayton, OH 45459-4263 |
Second Address | Cincinnati, OH 45241-2500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 14/05/2019 |