Individual
GANGAIAH CHOWDARY KANAKAMEDALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-4000
Mailing address
900 MICKLEY RD, APT D1-3, WHITEHALL, PA 18052-5000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD470025
PA
Other
Enumeration date
05/25/2016
Last updated
01/12/2021
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