Dr. Vivek Vardhan Reddy Kandanati, M.D.
Internal Medicine, Infectious Disease in Johnson City, NY. Individual provider (NPI-1).
NPI number1760622971
StatusActive
Last updated in NPPESNov 19, 2011
Details
- NPI
- 1760622971
- Entity type
- Individual (NPI-1)
- Name
- Dr. Vivek Vardhan Reddy Kandanati
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 27, 2009
- Last updated
- Nov 19, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0200X | Internal Medicine, Infectious Disease | 261743 | NY | Yes |
Practice location
33-57 Harrison StJohnson City, NY 13790-2107
Phone 607-763-6622 · Fax 607-763-5064
Mailing address
346 Grand AveJohnson City, NY 13790-2580
Phone 607-729-8156 · Fax 607-729-2209
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