License Search: Details

Name	Title	Specialty	Certified	Primary Practice Location	Licensed Or Has Been Licensed In
Nalini Kakulavaram	MD	Internal Medicine	Verify Specialty Certification	1901 West 4th Street COFFEYVILLE, KS (Other)	KS, PA

License History

License Type	License Number	Status	License Date	Expiration Date
PMD	16726	Surrendered	11/04/1991	09/08/2008

Education History

School	Date Completed	Nature of Training
Osmania Medical College, Osmania University	07/01/1975	Medical or Podiatric School
Ohio Valley Medical Center, Wheeling	06/30/1991	Post-Graduate Training
Frankford Hospital, Philadelphia	6/30/1987	Post-Graduate Training

Physician Assistant(s) Collaboration

Name
No Current Supervision

Discipline/Board Action History

Discipline/Board Action	Type of Action	Action Date	Public Documents
Yes	Voluntary Surrender of License	09/08/2008	Consent Order

Malpractice History

No Malpractice Cases On Record

This data was retrieved on 4/17/2026.