Individual
PRASHANTHI KANDAVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4650 W SUNSET BLVD # 78, LOS ANGELES, CA 90027-6062
(323) 361-2181
Mailing address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 763-5589
(734) 763-4208
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301104980
MI
2080P0206X
Pediatric Gastroenterology Physician
Primary
A167506
CA
Other
Enumeration date
06/03/2014
Last updated
11/03/2022
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