Vivek Vardhan Reddy Kandanati M.D.

NPI 1760622971 - Internal Medicine - 207RI0200X

NPI Details
NPI 1760622971
Gender Male
Enumeration Date 02/27/2009
Last Updated 11/19/2011
Entity Type Individual
Active Over 7 years ago
Practice Location
33-57 HARRISON ST
JOHNSON CITY NY, 13790-2107, US
Phone (607) 763-6622
Fax (607) 763-5064
Business Location
346 GRAND AVE
JOHNSON CITY NY, 13790-2580, US
Phone (607) 729-8156
Fax (607) 729-2209
Toxanomy
Taxonomy Code 207RI0200X
License State New York
License Number 261743
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According to our database, Dr. Vivek Vardhan Reddy Kandanati M.D. NPI is 1760622971, taxonomy code is 207RI0200X and license number is 261743, license state is located at New York. Vivek Vardhan Reddy Kandanati M.D. physically located at 33-57 Harrison St, Johnson City NY, 13790-2107. NPI Number Vivek Vardhan Reddy Kandanati M.D. has the Individual type.

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1760622971 NPI number is provided on an as is basis without warranty of any kind. 1760622971 is maintained by the National Plan & Provider Enumeration System. The contents of Vivek Vardhan Reddy Kandanati M.D. are for informational purposes only.