Sreedhar Kallakuri
in Brooklyn, NY. Individual provider (NPI-1).
NPI number1285645028
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1285645028
- Entity type
- Individual (NPI-1)
- Name
- Sreedhar Kallakuri
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 10, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0129X | 217542-1 | NY | Yes |
Practice location
2601 Ocean PkwyBrooklyn, NY 11235-7745
Phone 718-616-4408 · Fax 718-616-4105
Mailing address
7 Telegraph Hill RdHolmdel, NJ 07733-1465
Phone 732-739-6764
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