Individual
DR. PRASADA R. KANDULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
29000 CENTER RIDGE RD, WESTLAKE, OH 44145-5293
(440) 414-6046
Mailing address
5620 SOUTHWYCK BLVD, TOLEDO, OH 43614-1501
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35061558D
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0605714
—
OH
01
—
300117695
RAILROAD
—
Enumeration date
11/28/2005
Last updated
01/23/2008
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