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Kannan Kandallu, MD
Vascular & Interventional Radiology Physician in Hammond, Indiana
NPI 1740279082

Kannan Kandallu is a Vascular & Interventional Radiology Physician based in Merrillville, IN and is specialized in Vascular & Interventional Radiology. Kannan Kandallu practices in Hammond, IN and has the professional credentials of MD. The NPI Number for Kannan Kandallu is 1740279082 and holds a License No. 01046704 (Indiana).

The current practice location address for Kannan Kandallu is 5454 Hohman Ave, Hammond, IN and can be reached out via phone at 219-933-2006 and via fax at 219-738-6714.

Location: 5454 Hohman Ave, Hammond, IN, 46410-6382
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740279082
Provider Name
Kannan Kandallu
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5454 Hohman Ave, Hammond, IN, 46410-6382
Phone Number
219-933-2006
Fax Number
219-738-6714
Provider Enumeration Date
10/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200157240 05 IN
institution
Provider Business Practice Location Address Details
Address
5454 Hohman Ave
City
Hammond
State
Indiana
Zip
46320-1931
Phone Number
219-933-2006
Fax Number
219-738-6714
person
Provider Business Mailing Address Details
Address
5454 Hohman Ave
City
Hammond
State
Indiana
Zip
46320-1931
Phone Number
219-933-2006
Fax Number
219-738-6714
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
01046704 (Indiana)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
01046704 (Indiana)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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