Kandula, Pradeep K.

Kandula, Pradeep K. is an individual health care provider with primary practice located at 100 Jackson Pike , Gallipolis OH 45631-1560. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kandula, Pradeep K. can be contacted via phone (740) 446-5371.

Contact Information

Primary practice address
100 Jackson Pike Gallipolis OH 45631-1560
Phone: (740) 446-5371
Fax: (740) 446-5711
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35.073733 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 19937 West Virginia

Profile Details

NPI number 1225082670
LBN Legal business name Kandula, Pradeep K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Jan 21st, 2021 - about 4 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 1225082670 NPPES
Other 370009999 RR MEDICARE
Other 000000006496 RR MEDICARE
MEDICAID 0111254000 RR MEDICARE
Other 2048108 RR MEDICARE
Other 310917085048 RR MEDICARE
Other 000000181956 RR MEDICARE
Other 001714099 RR MEDICARE
MEDICAID 2048108 RR MEDICARE

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