Individual
NALINI KANDALLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1201 S MAIN ST, CROWN POINT, IN 46307-8481
(219) 757-6320
(219) 738-6714
Mailing address
55 E 86TH AVE, PO BOX 10645, MERRILLVILLE, IN 46410-6382
(219) 769-1670
(219) 738-6714
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000722A
IN
Other
Enumeration date
10/19/2005
Last updated
01/29/2024
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