Individual
VICTORIA KANDALAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1265 UNION AVE, MEMPHIS, TN 38104-3415
(901) 725-5846
Mailing address
6060 PRIMACY PKWY, SUITE 241, MEMPHIS, TN 38119-5745
(901) 725-5846
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
15356
TN
207L00000X
Anesthesiology Physician
Primary
15356
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3016370
—
TN
Enumeration date
05/18/2006
Last updated
12/20/2016
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