Kakkera, Raghavendra

Kakkera, Raghavendra is an sole proprietor health care provider with primary practice located at 24 Washington Ave , Hicksville NY 11801-2121. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Kakkera, Raghavendra can be contacted via phone (512) 650-7156.

Contact Information

Primary practice address
24 Washington Ave Hicksville NY 11801-2121
Phone: (512) 650-7156
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 29147 Maryland
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 044289 New York

Profile Details

NPI number 1528604394
LBN Legal business name Kakkera, Raghavendra
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 26th, 2019
Last updated Mar 14th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers