Kandula, Renuka

Kandula, Renuka is an individual health care provider with primary practice located at 100 Jackson Pike , Gallipolis OH 45631-1560. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kandula, Renuka can be contacted via phone (740) 446-5131.

Contact Information

Primary practice address
100 Jackson Pike Gallipolis OH 45631-1560
Phone: (740) 446-5131
Fax: (740) 446-5486
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20268 West Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35.074211 Ohio

Profile Details

NPI number 1427095736
LBN Legal business name Kandula, Renuka
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jan 21st, 2021 - about 3 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 1427095736 NPPES
Other 000000006517 ANTHEM BCBS
Other 001714104 ANTHEM BCBS
Other 110166885 ANTHEM BCBS
Other 000000181874 ANTHEM BCBS
Other 2061512 ANTHEM BCBS
MEDICAID 0081952000 ANTHEM BCBS
MEDICAID 2061512 ANTHEM BCBS
Other 310917085106 ANTHEM BCBS

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