Individual
MARK M KANDARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 N CAPITOL AVE, INDIANAPOLIS, IN 46202-1218
(317) 962-2894
(317) 963-5285
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01082592A
IN
207R00000X
Internal Medicine Physician
Primary
4301110146
MI
207RN0300X
Nephrology Physician
4301509009
MI
Other
Enumeration date
06/30/2016
Last updated
07/21/2023
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