Kandula, Madhavi

Kandula, Madhavi is an individual health care provider with primary practice located at 845 North New Ballas Court Suite 310, St Louis MO 63141-7148. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Kandula, Madhavi can be contacted via phone (314) 692-0221.

Contact Information

Primary practice address
845 North New Ballas Court Suite 310 St Louis MO 63141-7148
Phone: (314) 692-0221
Fax: (314) 692-0686
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X R8J49 Missouri

Profile Details

NPI number 1437247566
LBN Legal business name Kandula, Madhavi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437247566 NPPES
Other 177308 BCBSMO
Other 199611384014 BCBSMO

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