| Gincy Kandankulam | |
|
47 State St Struthers OH 44471-1939 | |
| (330) 755-2124 | |
| (330) 755-2276 |
| Full Name | Gincy Kandankulam |
|---|---|
| Speciality | Family Medicine |
| Location | 47 State St, Struthers, Ohio |
| Authorized Official Name and Position | Jenn Mathew (OFFICE MANAGER) |
| Authorized Official Contact | 3307552124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gincy Kandankulam 47 State St Struthers OH 44471-1939 Ph: (330) 755-2124 | Gincy Kandankulam 47 State St Struthers OH 44471-1939 Ph: (330) 755-2124 |
| NPI Number | 1457683328 |
|---|---|
| Provider Enumeration Date | 02/03/2010 |
| Last Update Date | 02/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457683328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35094608 (Ohio) | Primary |
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