Individual
KARTHIK KANNEGOLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301102865
MI
207RN0300X
Nephrology Physician
Primary
01076648A
IN
Other
Enumeration date
07/09/2013
Last updated
12/17/2020
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