Pradeep K Kandula, MD | |
100 Jackson Pike, Gallipolis, OH 45631-1560 | |
(740) 446-5371 | |
(740) 446-5711 |
Full Name | Pradeep K Kandula |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 100 Jackson Pike, Gallipolis, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225082670 | NPI | - | NPPES |
370009999 | Other | RR MEDICARE | |
000000006496 | Other | ANTHEM BCBS | |
0111254000 | Medicaid | WV | |
2048108 | Other | OH | MOLINA MEDICAID |
310917085048 | Other | OH | CARESOURCE MEDICAID |
000000181956 | Other | OH | UNISON MEDICAID |
001714099 | Other | MOUNTAIN STATE BCBS | |
2048108 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 35.073733 (Ohio) | Primary |
208000000X | Pediatrics | 19937 (West Virginia) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Pradeep K Kandula, MD 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5371 | Pradeep K Kandula, MD 100 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5371 |
Jon M. Sullivan, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5371 Fax: 740-446-5711 | |
Jonathan Mathis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-446-5711 | |
Mr. Jacob Lawrence Pessia, MS IV Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-441-1949 Fax: 740-446-5982 | |
Shana Allie Vore, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-446-5711 | |
Danielle T. Cappelletti, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5371 Fax: 740-446-5711 | |
Il H. Kim, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5371 Fax: 740-446-5711 |