Individual
PRIYANUSH KANDAKATLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
NORTHWELL LIJ HOSPITAL RADIOLOGY DEPARTMENT, HOSPITAL 300 COMMUNITY DRIVE, MANHASSET, NY 11030-1859
(516) 572-6637
Mailing address
11 MELVIEW CT., MELVILLE, NY 11747
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
317293
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2016
Last updated
04/19/2023
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