Individual provider · Type 1 NPI

Kannan Kandallu, MD

Diagnostic Radiology Physician · Hammond, IN

NPI number 1740279082 Active

Practice location

5454 Hohman Ave
Hammond, IN 46320-1931

Fax (219) 738-6714

Mailing address

55 E 86th Ave, PO Box 10645
Merrillville, IN 46410-6382

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X01046704 (IN)
Vascular & Interventional Radiology Physician 2085R0204X01046704 (IN)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1740279082

Kannan Kandallu, MD's National Provider Identifier is 1740279082, issued on Oct 19, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Hammond, IN. The record was last updated on Jan 25, 2012.