Individual
JITHENDHAR KANDIMALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4801 ALBERTA AVE, EL PASO, TX 79905-2707
(915) 215-5900
(915) 215-8615
Mailing address
5130 GATEWAY BLVD E, EL PASO, TX 79905-1608
(915) 215-4480
(915) 215-5386
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
V5291
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2021
Last updated
07/08/2025
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