Individual
DR. SANDEEP KUKKADI SADASHIV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
833 CHESTNUT ST, SUITE 1210, PHILADELPHIA, PA 19107-4414
(215) 460-8233
Mailing address
833 CHESTNUT ST, SUITE 1210, PHILADELPHIA, PA 19107-4414
(215) 460-8233
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD446229
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT194292
PA
Other
Enumeration date
07/07/2009
Last updated
06/24/2015
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