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NPI Code Detail

MEDICARE: ANANDA M. KANAKANALA

MEDICARE: ANANDA M. KANAKANALA
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
1122300000XDentistDN30790FL

General Provider Information

NPI Number : 1083817902
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANANDA M. KANAKANALA
Provider Business Mailing Address
First Line : 35176 US HIGHWAY 19 N
Second Line :
City : PALM HARBOR
State : FL
Zip : 34684-1929
Country : US
Telephone Number : 727-469-7149
Fax Number :
Provider Business Practice Location Address
First Line : 35176 US HIGHWAY 19 N
Second Line :
City : PALM HARBOR
State : FL
Zip : 34684-1929
Country : US
Telephone Number : 727-469-7149
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2007
Last Update Date : 04/08/2026

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Directions to “ ANANDA M. KANAKANALA ” Practice Location

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