Individual
UMASHANKAR KANDASAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4864 JACKSON ST, MONROE, LA 71202-6400
(318) 330-7000
Mailing address
1541 KINGS HWY, ATTN: PAYOR CREDENTIALING, SHREVEPORT, LA 71103-4228
(318) 626-0287
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
301727
LA
Other
Enumeration date
06/01/2013
Last updated
07/08/2024
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