Provider Demographics
NPI:1053730564
Name:KALAKOTA, NEEHARIKA (MD)
Entity type:Individual
Prefix:
First Name:NEEHARIKA
Middle Name:
Last Name:KALAKOTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 MARTIN LUTHER KING DR W
Mailing Address - Street 2:APT 710
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45220-2570
Mailing Address - Country:US
Mailing Address - Phone:989-708-7886
Mailing Address - Fax:
Practice Address - Street 1:6620 MAIN ST.
Practice Address - Street 2:BAYLOR CLINIC
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:989-708-7886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-11
Last Update Date:2014-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10049462207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine