MEDICARE: WENDY ANANDAJEYA KIRKLAND MD

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	207W00000X	Ophthalmology Physician	35121696	OH

General Provider Information

NPI Number	:	1023264637
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WENDY ANANDAJEYA KIRKLAND MD

Provider Business Mailing Address
First Line	:	262 NEIL AVE
Second Line	:	STE 320
City	:	COLUMBUS
State	:	OH
Zip	:	43215-7311
Country	:	US
Telephone Number	:	202-877-3937
Fax Number	:

Provider Business Practice Location Address
First Line	:	2139 AUBURN AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-2906
Country	:	US
Telephone Number	:	513-585-0855
Fax Number	:	513-585-2673

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2008
Last Update Date	:	02/26/2018

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