Provider Demographics
NPI:1447679030
Name:GOKARAKONDA, SRINIVASA B (MD, MPH)
Entity type:Individual
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First Name:SRINIVASA
Middle Name:B
Last Name:GOKARAKONDA
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Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:4301 W MARKHAM ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-7101
Mailing Address - Country:US
Mailing Address - Phone:501-526-8150
Mailing Address - Fax:501-526-8198
Practice Address - Street 1:4301 W MARKHAM ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-7101
Practice Address - Country:US
Practice Address - Phone:501-526-8150
Practice Address - Fax:501-526-8198
Is Sole Proprietor?:No
Enumeration Date:2014-04-10
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARE-102312084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry