Individual
DR. AJAY CHAKRAVARTHY KANAKAMEDALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 S 21ST ST, EASTON, PA 18042-3851
(484) 526-1735
Mailing address
250 S 21ST ST, EASTON, PA 18042-3851
(484) 526-1735
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD485258
PA
Other
Enumeration date
04/13/2018
Last updated
04/22/2025
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