| Kannan Kandallu, MD | |
|
5454 Hohman Ave, Hammond, IN 46320-1931 | |
| (219) 933-2006 | |
| (219) 738-6714 |
| Full Name | Kannan Kandallu |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 5454 Hohman Ave, Hammond, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740279082 | NPI | - | NPPES |
| 200157240 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 01046704 (Indiana) | Primary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 01046704 (Indiana) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Kannan Kandallu, MD 55 E 86th Ave, Po Box 10645, Merrillville, IN 46410-6382 Ph: (219) 769-1670 | Kannan Kandallu, MD 5454 Hohman Ave, Hammond, IN 46320-1931 Ph: (219) 933-2006 |
Jong Liu, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5454 S Hohman Ave, Hammond, IN 46320 Phone: 219-933-2006 Fax: 219-738-6714 | |
Jong-il Marcus Lee, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 5454 Hohman Ave, Hammond, IN 46320 Phone: 219-933-2006 Fax: 219-738-6714 | |
Peter J Georgis, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5454 Hohman Ave, Hammond, IN 46320 Phone: 219-933-2006 Fax: 219-738-6714 | |
Do Ji Paik, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 5454 Hohman Ave, Hammond, IN 46320 Phone: 219-933-2006 Fax: 219-738-6714 | |
Dr. Urmi Pradeep Kalokhe, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 5454 Hohman Ave, Hammond, IN 46320 Phone: 219-933-2130 Fax: 219-933-2634 | |
Himanshu Y Doshi, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 5454 Hohman Ave, Hammond, IN 46320 Phone: 219-933-2006 Fax: 219-738-6714 |