Individual
DR. VIJAY KANAKADANDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
802 N RIVERSIDE RD STE 220, SAINT JOSEPH, MO 64507-2509
(816) 271-6155
Mailing address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-6019
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
04-39153
KS
207RG0100X
Gastroenterology Physician
2018012224
MO
Other
Enumeration date
08/20/2010
Last updated
01/25/2021
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