Individual
MADHURI KANDALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1370 116TH AVE NE, SUITE 209, BELLEVUE, WA 98004-3825
(425) 453-8406
(425) 453-4173
Mailing address
1370 116TH AVE NE, SUITE 209, BELLEVUE, WA 98004-3825
(425) 453-8406
(425) 453-4173
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD00042273
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1123520
—
WA
Enumeration date
10/02/2006
Last updated
06/28/2019
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