BALA KOTESWARA RAO DAVULURI
Individual Provider (NPI-1)
Active
Psychiatry & Neurology, Neurology
Provider Information
- NPI Number
1407010754- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2354 WEST BOULVARD, KOKOMO, IN, 469026069
- Phone
- (765) 457-4800
Specialties & Taxonomies
Psychiatry & Neurology, Neurology
License: MN #52575
Psychiatry & Neurology, Neurology
License: WI #62281-020
Student in an Organized Health Care Education/Training Program
Psychiatry & Neurology, Neurology
Primary License: IN #01084760A