Healthcare Provider Details

I. General information

NPI: 1043951148
Provider Name (Legal Business Name): VARSHA KANDADI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VARSHINI KANDADI MD

II. Dates (important events)

Enumeration Date: 04/05/2022
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 BEVERLY BLVD STE 4311
WEST HOLLYWOOD CA
90048-1804
US

IV. Provider business mailing address

4140 W 190TH ST
TORRANCE CA
90504-5513
US

V. Phone/Fax

Practice location:
  • Phone: 310-423-4451
  • Fax: 310-423-2114
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA190686
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: