Manasa Kandula

NPI #1942616578 in Peoria, Illinois

Provider Information

NPI Number: 1942616578
Entity Type: Individual
Name: Manasa Kandula
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Enumeration Date: Jul 2, 2014
Last Updated: Jul 2, 2014

Practice Location

Address: 530 NE GLEN OAK AVE
City: Peoria
State: Illinois
ZIP Code: 61637-0001
Phone: (309) 655-6384

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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