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Individual

PHANI CHANDRA KANTAMNENI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
888 SWIFT BLVD, RICHLAND, WA 99352
(509) 946-4611
(509) 942-2185
Mailing address
560 GAGE BLVD, SUITE 203, RICHLAND, WA 99352
(509) 942-3627
(509) 942-2268

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD60607834
WA

Other

Enumeration date
07/27/2011
Last updated
06/16/2021
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