Individual
DR. VIMALKUMAR VEERAPPAN KANDASAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,
Contact information
Practice address
13460 N 94TH DR STE J1, PEORIA, AZ 85381-4246
(623) 876-8816
(623) 298-0168
Mailing address
13460 N 94TH DR STE J1, PEORIA, AZ 85381-4246
(623) 876-8816
(623) 298-0168
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
6827
NE
207RC0000X
Cardiovascular Disease Physician
58133
AZ
207RI0011X
Interventional Cardiology Physician
Primary
58133
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529478
—
AZ
Enumeration date
06/30/2012
Last updated
07/01/2025
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