Kandra, Ajay K
Kandra, Ajay K is an sole proprietor health care provider with primary practice located at 1373 E State Road 62 , Madison IN 47250-7328. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Kandra, Ajay K can be contacted via phone (812) 801-0603.Contact Information
Primary practice address
1373 E State Road 62
Madison IN 47250-7328
Phone: (812) 801-0603
Fax: (812) 801-0589
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 01070122A | Indiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD433349 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 49834 | Kentucky |
Profile Details
| NPI number | 1538347521 |
|---|---|
| LBN Legal business name | Kandra, Ajay K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2008 |
| Last updated | Jul 21st, 2023 - about 2 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 | 1538347521 | NPPES |
| Indiana | Other | 412840138 | MEDICARE |
| Indiana | MEDICAID | 201037340 | MEDICARE |
| Indiana | MEDICAID | 7100457230 | MEDICARE |
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