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Bala Koteswara Rao Davuluri
Neurology Physician in Kokomo, Indiana
NPI 1407010754

Bala Koteswara Rao Davuluri is a Neurology Physician based in Dallas, IN and is specialized in Neurology. Bala Koteswara Rao Davuluri practices in Kokomo, IN. The NPI Number for Bala Koteswara Rao Davuluri is 1407010754 and holds a License No. 52575 (Indiana).

The current practice location address for Bala Koteswara Rao Davuluri is 2354 West Boulvard, Kokomo, IN and can be reached out via phone at 765-457-4800.

Location: 2354 West Boulvard, Kokomo, IN, 75284-4658
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407010754
Provider Name
Bala Koteswara Rao Davuluri
Credential
Provider Entity Type
Individual
Gender
Male
Address
2354 West Boulvard, Kokomo, IN, 75284-4658
Phone Number
765-457-4800
Fax Number
Provider Enumeration Date
07/16/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1407010754 05 MN
institution
Provider Business Practice Location Address Details
Address
2354 West Boulvard
City
Kokomo
State
Indiana
Zip
46902-6069
Phone Number
765-457-4800
Fax Number
person
Provider Business Mailing Address Details
Address
2354 West Boulvard
City
Kokomo
State
Indiana
Zip
46902-6069
Phone Number
765-457-4800
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
62281-020 (Wisconsin)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
52575 (Minnesota)
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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