Individual
NANDINI R KANDALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
123 ED SCHMIDT BLVD, SUITE 140, HUTTO, TX 78634-5585
(877) 800-5722
(512) 846-2072
Mailing address
205 E UNIVERSITY AVE, SUITE 200, GEORGETOWN, TX 78626-6814
(512) 686-0207
(512) 869-2940
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036111336
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L0214601
DPS
TX
Enumeration date
11/30/2006
Last updated
03/07/2023
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