Individual
SANDEEP KOWKUNTLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(847) 902-8018
Mailing address
1400 W ST NW APT 223, WASHINGTON, DC 20009-6383
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
DC
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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