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Krishna K Kakani

Obstetrics & Gynecology

Allopathic & Osteopathic Physicians

2006 Franklin St SE Ste 102, Huntsville, AL 35801-4537

PECOS Enrollment

This provider is enrolled in PECOS as KRISHNA KAKANI.

Based on the most recent information from CMS, provider Krishna K Kakani is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1568456655
Provider Type
Individual
Full Name
Kakani, Krishna K
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
9/6/2005
Last Updated
4/23/2019

Contact Information

Practice Location

2006 Franklin St SE Ste 102, Huntsville, AL 35801-4537

(256) 251-5121

(256) 469-6061

Mailing Location

2006 Franklin St SE Ste 102, Huntsville, AL 35801-4537

(256) 251-5121

(256) 469-6061

Provider Taxonomies

Code	Description	License
Code 207V00000X Primary	Description Obstetrics & Gynecology Allopathic & Osteopathic Physicians	License AL12351 Alabama

Provider Identifiers

ID	Description	Issuer
ID 0515-02593	Description Medicaid	Issuer Unlisted Alabama

Krishna K Kakani

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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