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Individual
DR. KALYAN DANDALA
Active
Individual
DR. KALYAN DANDALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
MD00048010
WA
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
MD00048010
WA
2084P0800X
Psychiatry Physician
MD00048010
WA
2084P0802X
Addiction Psychiatry Physician
Primary
MD00048010
WA
Other
Enumeration date
01/26/2007
Last updated
07/16/2015
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