Kandala, Madhuri
Kandala, Madhuri is an sole proprietor health care provider with primary practice located at 1370 116Th Ave Ne Suite 209, Bellevue WA 98004-3825. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Kandala, Madhuri can be contacted via phone (425) 453-8406.Contact Information
Primary practice address
1370 116Th Ave Ne Suite 209
Bellevue WA 98004-3825
Phone: (425) 453-8406
Fax: (425) 453-4173
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MD00042273 | Washington |
Profile Details
| NPI number | 1952494874 |
|---|---|
| LBN Legal business name | Kandala, Madhuri |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Jun 28th, 2019 - about 5 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 | 1952494874 | NPPES |
| Washington | MEDICAID | 1123520 |
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