Individual
PRASHANTHI KANDAVEL
Active
Individual
PRASHANTHI KANDAVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
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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