SearchNew York225100000X

Raghavendra Kakkera

NPI 1528604394 · on the registry since 2019 · sole proprietor

Practice

Address
24 Washington Ave
Hicksville, NY 11801
Phone
(512) 650-7156

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
225100000X
Licence states on file
MD, NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-03-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York