Provider Demographics
NPI:1871343459
Name:KAKUTURU, ABHINAV REDDY (DO)
Entity type:Individual
Prefix:
First Name:ABHINAV
Middle Name:REDDY
Last Name:KAKUTURU
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:424 REDLINGER RD
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60193-2733
Mailing Address - Country:US
Mailing Address - Phone:847-903-0887
Mailing Address - Fax:
Practice Address - Street 1:424 REDLINGER RD
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60193-2733
Practice Address - Country:US
Practice Address - Phone:847-903-0887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program