Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kavya Koppula, MD

Individual provider Family Medicine Physician · NPI 1316387467

Dr. Kavya Koppula, MD is a Family Practice in Park Rapids, Minnesota. Qualified in 2007, 19 years ago. Practices with Gulf Coast Physician Services, PLLC, a 100-clinician group and accepts Medicare assignment. Licensed in Michigan and Minnesota.

Years since qualifying
19
Licensed in
MI, MN
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

705 Pleasant Ave S
Park Rapids, MN 56470-1440
Phone: (218) 732-2800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 60483 (MN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 4301103189 (MI)

Record details

NPI number1316387467
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 2, 2013
Last updated in NPPESJuly 22, 2016
Mailing addressPo Box 6001, Fargo, ND 58108-6001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Gulf Coast Physician Services, Pllc — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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