MEDICARE: GINCY KANDANKULAM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	35094608	OH

General Provider Information

NPI Number	:	1457683328
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GINCY KANDANKULAM

Provider Business Mailing Address
First Line	:	47 STATE ST
Second Line	:
City	:	STRUTHERS
State	:	OH
Zip	:	44471-1939
Country	:	US
Telephone Number	:	330-755-2124
Fax Number	:	330-755-2276

Provider Business Practice Location Address
First Line	:	47 STATE ST
Second Line	:
City	:	STRUTHERS
State	:	OH
Zip	:	44471-1939
Country	:	US
Telephone Number	:	330-755-2124
Fax Number	:	330-755-2276

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	JENN MATHEW
Credential	:
Telephone Number	:	330-755-2124

Provider Enumeration Date	:	02/03/2010
Last Update Date	:	02/03/2010

Similar Medicare Providers

1023012937 — MRS. LISA RENEE NORTON-TOTH PT
Practice Location Address:

45 STATE ST
STRUTHERS, OH
44471-1939

Practice Phone: 330-755-6552
Practice Fax: 330-755-6553

1275541468 — PETER A ANDREWS D.O.
Practice Location Address:

47 STATE ST
STRUTHERS, OH
44471-1939

Practice Phone: 330-722-3311
Practice Fax: 330-755-6656

1356482004 — HANDS ON PHYSICAL THERAPY, LLC
Practice Location Address:

45 STATE STREET
STRUTHERS, OH
44471-1939

Practice Phone: 330-755-6552
Practice Fax: 330-755-6553

1619412681 — ASSOCIATES FAMILY FOOT CARE
Practice Location Address:

51 STATE ST
STRUTHERS, OH
44471-1939

Practice Phone: 330-759-8690
Practice Fax: 330-759-3988

1447180625 — ASHLEY TREVIS
Practice Location Address:

363 W OMAR ST
STRUTHERS, OH
44471-1344

Practice Phone: 234-564-7388
Practice Fax:

1700652997 — CORE RENEWAL THERAPY GROUP LLC
Practice Location Address:

572 MAPLEWOOD AVE
STRUTHERS, OH
44471-1133

Practice Phone: 330-540-0086
Practice Fax:

Directions to “GINCY KANDANKULAM ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.