Individual
DR. PARDHA KANAGALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3810 NEW VISION DR, FORT WAYNE, IN 46845-1708
(260) 482-1004
(260) 483-7894
Mailing address
3702 NEW VISION DR, BLDG B, FORT WAYNE, IN 46845-1703
(260) 266-8210
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01028077A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000082092
ANTHEM BC/BS
IN
05
—
100322090A
—
IN
01
—
1461
PHP
IN
Enumeration date
07/01/2005
Last updated
11/01/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us