Individual
JOHN PIDAKALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1210 KY HIGHWAY 36 E UNIT 1, CYNTHIANA, KY 41031-7498
(859) 234-2300
Mailing address
1210 KY HIGHWAY 36 E UNIT 1, CYNTHIANA, KY 41031-7498
(859) 234-2300
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
59721
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2021
Last updated
08/15/2024
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