Individual
DR. VIJAYABHASKAR REDDY KANDULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
1200 E 3900 S, SALT LAKE CITY, UT 84124-1300
(801) 783-5011
(801) 746-3734
Mailing address
PO BOX 3299, CARSON CITY, NV 89702-3299
(844) 207-4039
(775) 222-0056
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
7162989-1205
UT
207R00000X
Internal Medicine Physician
A79767
CA
208M00000X
Hospitalist Physician
18275
NV
208M00000X
Hospitalist Physician
Primary
7169289-1205
UT
Other
Enumeration date
08/07/2006
Last updated
11/19/2020
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