Individual provider · Type 1 NPI

Monica Kandola, MD

Student in an Organized Health Care Education/Training Program · South Lyon, MI

NPI number 1124471933 Active

Practice location

210 N Lafayette St
South Lyon, MI 48178-2048

Call (248) 437-1744 Map

Mailing address

18272 W 12 Mile Rd, Apt 204
Southfield, MI 48076-2669

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X4301110447 (MI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124471933

Monica Kandola, MD's National Provider Identifier is 1124471933, issued on Jul 16, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in South Lyon, MI. The record was last updated on Jul 16, 2016.