Individual
DR. KISHORE KUMAR GANDLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5301 E HURON RIVER DR, YPSILANTI, MI 48197-1051
(734) 712-8676
Mailing address
3165 ROGUE RIVER DR, CHICO, CA 95973-8295
(915) 929-9790
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301500342
MI
Other
Enumeration date
06/11/2008
Last updated
12/05/2019
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