Individual
KAVITHA NIDAMANURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2600 6TH ST SW, SUITE A2-710, CANTON, OH 44710-1702
(330) 454-8076
Mailing address
2600 6TH ST SW STE A2-710, CANTON, OH 44710-1702
(330) 454-8076
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
235523
MA
207RC0000X
Cardiovascular Disease Physician
Primary
35097795
OH
Other
Enumeration date
02/06/2007
Last updated
08/30/2012
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