person
Pavan Kakarla
Student in an Organized Health Care Education/Training Program in Pontiac, Michigan
NPI 1356070437

Pavan Kakarla is a Student in an Organized Health Care Education/Training Program based in Saint Marys, MI. Pavan Kakarla practices in Pontiac, MI. The NPI Number for Pavan Kakarla is 1356070437 and holds a License No. 4351050300 (Michigan).

The current practice location address for Pavan Kakarla is 461 W Huron St, Pontiac, MI and can be reached out via phone at 248-857-7200.

Location: 461 W Huron St, Pontiac, MI, 45885-9256
person
Provider Profile Details
NPI Number
1356070437
Provider Name
Pavan Kakarla
Credential
Provider Entity Type
Individual
Gender
Male
Address
461 W Huron St, Pontiac, MI, 45885-9256
Phone Number
248-857-7200
Fax Number
Provider Enumeration Date
06/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
461 W Huron St
City
State
Zip
48341-1601
Phone Number
248-857-7200
Fax Number
person
Provider Business Mailing Address Details
Address
461 W Huron St
City
State
Zip
48341-1601
Phone Number
248-857-7200
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
4351050300 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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