Individual
CHANDANA KAMIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
40 MEDICAL PARK STE 300, WHEELING, WV 26003-6392
(304) 243-6642
Mailing address
40 MEDICAL PARK STE 300, WHEELING, WV 26003-6392
(304) 243-6642
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35 128956
OH
207RH0003X
Hematology & Oncology Physician
Primary
31151
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548602402
NPI
OH
Enumeration date
07/20/2013
Last updated
12/08/2022
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