Amky Mso-1 Pllc

NPI #1821817503 in Salem, Illinois

Provider Information

NPI Number: 1821817503
Entity Type: Organization
Organization Name: Amky Mso-1 Pllc
Primary Specialty: Family Medicine
Enumeration Date: Oct 9, 2024
Last Updated: Nov 20, 2024

Practice Location

Address: 1325 W WHITTAKER ST STE D
City: Salem
State: Illinois
ZIP Code: 62881-2034
Phone: (678) 982-3590

Authorized Official

Name: DR. YUGANDHAR KANDIMALLA, MD
Title: PRESIDENT
Phone: (678) 982-3590

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Physical Therapist	225100000X
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Family Medicine	207Q00000X	Primary

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