Kandimalla, Jithender R
Kandimalla, Jithender R is an individual health care provider with primary practice located at 619 S 8Th St Ste 301 , Griffin GA 30224-4260. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Kandimalla, Jithender R can be contacted via phone (770) 229-6072.Contact Information
Primary practice address
619 S 8Th St Ste 301
Griffin GA 30224-4260
Phone: (770) 229-6072
Fax: (770) 229-2111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 52678 | Minnesota |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 9950 | North Dakota |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 072654 | Georgia |
Profile Details
| NPI number | 1891748539 |
|---|---|
| LBN Legal business name | Kandimalla, Jithender R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Oct 17th, 2019 - about 7 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.
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