Individual
DR. MADHU KANDARPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1362 E STROOP RD, KETTERING, OH 45429-4926
(937) 643-0015
(937) 643-0016
Mailing address
1362 E STROOP RD, KETTERING, OH 45429-4926
(937) 643-0015
(937) 643-0016
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
094294
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3015749
—
OH
Enumeration date
06/14/2007
Last updated
12/13/2012
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