Individual
DR. MANJU KANDULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 20TH AVE N, 9TH FLOOR, NASHVILLE, TN 37203-2131
(615) 284-1400
(615) 284-1535
Mailing address
PO BOX 501123, SAINT LOUIS, MO 63150-0001
(615) 284-1400
(615) 284-1535
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
23757
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130024217
RR MEDICARE
TN
05
—
3096859
—
TN
01
—
4018251
BLUE CROSS BLUE SHIELD
TN
01
—
5152045
AETNA
TN
Enumeration date
06/14/2006
Last updated
05/05/2008
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