Kancitis, Indra
Kancitis, Indra is an individual health care provider with primary practice located at 1407 Huguenot Rd , Midlothian VA 23113-2618. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kancitis, Indra can be contacted via phone (804) 794-2299.Contact Information
Primary practice address
1407 Huguenot Rd
Midlothian VA 23113-2618
Phone: (804) 794-2299
Fax: (804) 794-5774
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101102678 | Virginia |
Profile Details
| NPI number | 1962506394 |
|---|---|
| LBN Legal business name | Kancitis, Indra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2006 |
| Last updated | Jan 10th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962506394 | NPPES |
| Virginia | MEDICAID | 6700675 |
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