Individual
DR. PREM KANDIAH
Active
Individual
DR. PREM KANDIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
48807 - 20
WI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
066191
GA
2084N0400X
Neurology Physician
48807 - 20
WI
Other
Enumeration date
10/17/2006
Last updated
08/28/2017
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