Individual
DR. UDAY BHASKAR KANAKADANDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 W PARK ST, HVI, URBANA, IL 61801-2500
(217) 383-3110
Mailing address
611 W PARK ST, BWPC, URBANA, IL 61801-2500
(217) 383-6941
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125050385
IL
207RI0011X
Interventional Cardiology Physician
Primary
036140765
IL
Other
Enumeration date
03/05/2008
Last updated
07/25/2016
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