Provider Demographics
NPI:1043951148
Name:KANDADI, VARSHA (MD)
Entity type:Individual
Prefix:DR
First Name:VARSHA
Middle Name:
Last Name:KANDADI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:VARSHINI
Other - Middle Name:
Other - Last Name:KANDADI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1200 N STATE ST
Mailing Address - Street 2:CLINIC TOWER, SUITE A7D
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90033-1029
Mailing Address - Country:US
Mailing Address - Phone:323-409-2324
Mailing Address - Fax:323-226-3853
Practice Address - Street 1:1200 N STATE ST
Practice Address - Street 2:CLINIC TOWER, SUITE A7D
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033-1029
Practice Address - Country:US
Practice Address - Phone:323-409-2324
Practice Address - Fax:323-226-3853
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program