Individual
DR. KANDHASAMY KANNAPIRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D;
Contact information
Practice address
339 CLINE AVE, MANSFIELD, OH 44907-1072
(419) 756-1242
(419) 756-7894
Mailing address
339 CLINE AVE, MANSFIELD, OH 44907-1072
(419) 756-1242
(419) 756-7894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
350 48702
OH
207R00000X
Internal Medicine Physician
39896
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0517631
—
OH
Enumeration date
07/18/2006
Last updated
07/08/2007
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