MEDICARE: KANDASAMY UMAPATHY M.D.

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	207R00000X	Internal Medicine Physician	35074954	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316947708
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KANDASAMY UMAPATHY M.D.

Provider Business Mailing Address
First Line	:	88 CENTER RD STE 350
Second Line	:
City	:	BEDFORD
State	:	OH
Zip	:	44146-2775
Country	:	US
Telephone Number	:	440-439-7766
Fax Number	:

Provider Business Practice Location Address
First Line	:	88 CENTER RD STE 350
Second Line	:
City	:	BEDFORD
State	:	OH
Zip	:	44146-2775
Country	:	US
Telephone Number	:	440-439-7766
Fax Number	:

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

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	04/26/2023

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