Kandula, Suseelamm R
Kandula, Suseelamm R is an individual health care provider with primary practice located at 3130 N County Road 25A , Troy OH 45373-1337. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as her primary health care specialty. Kandula, Suseelamm R can be contacted via phone (937) 440-4000.Contact Information
Primary practice address
3130 N County Road 25A
Troy OH 45373-1337
Phone: (937) 440-4000
Fax: (937) 440-7882
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine | 207ZP0105X | 35-040791-K | Ohio |
Profile Details
| NPI number | 1407928542 |
|---|---|
| LBN Legal business name | Kandula, Suseelamm R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Nov 20th, 2007 - about 18 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 | 1407928542 | NPPES |
| Ohio | MEDICAID | 0526550 |
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