Most Relevant Information
Provider Data
| NPI Number: | 1003552795 |
| Provider Name: | VINEETH REDDY KANDALA M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/06/2022 |
| Last Updated: | 07/20/2023 |
Provider Practice Location
475 SEAVIEW AVENUE
DEPARTMENT OF MEDICINE
STATEN ISLAND
NY
10305
Practice Location Phone/Fax
| Phone: | 7182268313 |
| Fax: |
Provider Mailing Location
475 SEAVIEW AVENUE
DEPARTMENT OF MEDICINE
STATEN ISLAND
NY
10305
Provider Mailing Phone/Fax
| Phone: | 7182268313 |
| Fax: |