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Individual

STANKA MADHU KUMAR KANKIPATI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
661 MAHONING AVE NW, WARREN, OH 44483-4607
(330) 746-8040
(330) 746-8025
Mailing address
6505 MARKET ST BLDG A1, BOARDMAN, OH 44512-3457
(330) 746-8040
(330) 746-8025

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.135506
OH
208000000X
Pediatrics Physician
MD176098
OR
208000000X
Pediatrics Physician
MD449124
PA

Other

Enumeration date
07/16/2010
Last updated
03/03/2021
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