Kandallu, Venkatesh R.

Kandallu, Venkatesh R. is an individual health care provider with primary practice located at 205 10Th St Ne , Auburn WA 98002-4019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Kandallu, Venkatesh R. can be contacted via phone (253) 939-1230.

Contact Information

Primary practice address
205 10Th St Ne Auburn WA 98002-4019
Phone: (253) 939-1230
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD00035482 Washington

Profile Details

NPI number 1265494561
LBN Legal business name Kandallu, Venkatesh R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Sep 26th, 2014 - about 12 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 1265494561 NPPES
Washington Other 0280779 STATE L&I
Washington Other 0280798 STATE L&I
Washington Other 0280788 STATE L&I
Washington MEDICAID 8214868 STATE L&I

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