Individual
PRAVEENA KANDULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
483 CRANBURY RD, EAST BRUNSWICK, NJ 08816-3610
(732) 390-0030
(732) 390-1856
Mailing address
579A CRANBURY RD, UNIVERSITY RADIOLOGY GROUP, PC, EAST BRUNSWICK, NJ 08816-5426
(732) 390-0040
(732) 390-1856
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA09297400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0293547
—
NJ
Enumeration date
06/25/2007
Last updated
07/26/2013
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