Individual
DR. INDU KANNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14445 OLIVE VIEW DR, SYLMAR, CA 91342-1437
(747) 210-3000
Mailing address
550 1ST AVE, SUITE NBV8S4-11, NEW YORK, NY 10016-6402
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A136809
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2012
Last updated
12/15/2020
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