Individual
DR. VAIDEHI KANNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9301 SNOWHILL ESTATES LN, LAUREL, MD 20708-1391
(301) 617-0798
Mailing address
9301 SNOWHILL ESTATES LN, LAUREL, MD 20708-1391
(301) 617-0798
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
D0047812
MD
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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