| NPI | 1114981156 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-04-14 |
| Last Updated | 2014-01-24 |
| Mailing Address | Po Box 58187 Charleston, WV 25358-0187 United States Phone: (304) 792-6282 | Fax: (304) 792-6290 📍 View Map |
| Primary Practice Address | 38 Hospital Dr Logan, WV 25601-3452 United States Phone: (304) 792-6282 | Fax: (304) 792-6290 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | WV | 0079677000 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207R00000X – Internal Medicine | WV | 18738 |
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About NPI 1114981156
Radhakrishna Kukkillaya M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1114981156. The primary specialty listed is Internal Medicine. The provider is located in Logan, WV. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-04-14. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1114981156?
NPI 1114981156 belongs to Radhakrishna Kukkillaya M.D., a Internal Medicine in Logan, WV. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1114981156 active?
The current status of NPI 1114981156 in the NPPES registry is Active. The record was last updated on 2014-01-24.
What specialty is NPI 1114981156?
NPI 1114981156 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1114981156?
You can verify NPI 1114981156 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1114981156?
The primary practice address on file for NPI 1114981156 is 38 Hospital Dr, Logan, WV 25601-3452. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1114981156 issued?
NPI 1114981156 was first issued (enumerated) on 2006-04-14. The NPPES record was last updated on 2014-01-24.
Practice Location Map
Radhakrishna Kukkillaya is located at 38 Hospital Dr, Logan, WV. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Radhakrishna Kukkillaya. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1114981156. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine | 18738 | WV |