DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. PARDHA KANAGALA M.D.

MEDICARE: DR. PARDHA KANAGALA 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
1207L00000XAnesthesiology Physician01028077AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000082092OTHERINANTHEM BC/BS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31461OTHERINPHP

General Provider Information

NPI Number : 1699772889
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PARDHA KANAGALA M.D.
Provider Business Mailing Address
First Line : 3702 NEW VISION DR
Second Line : BLDG B
City : FORT WAYNE
State : IN
Zip : 46845-1703
Country : US
Telephone Number : 260-266-8210
Fax Number :
Provider Business Practice Location Address
First Line : 3810 NEW VISION DR
Second Line :
City : FORT WAYNE
State : IN
Zip : 46845-1708
Country : US
Telephone Number : 260-482-1004
Fax Number : 260-483-7894
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2005
Last Update Date : 11/01/2018

Similar Medicare Providers

1750388088 — DR. SEETHARAMAIAH ATLURI M.D.
Practice Location Address:
3810 NEW VISION DR
FORT WAYNE, IN
46845-1708
Practice Phone: 260-482-1004
Practice Fax: 260-483-7894
1427055771 — DR. JAMES DESIMONE M.D.
Practice Location Address:
3810 NEW VISION DR
FORT WAYNE, IN
46845-1708
Practice Phone: 260-482-1004
Practice Fax: 260-483-7894
1639176837 — PREFERRED ANESTHESIA CONSULTANTS, P.C.
Practice Location Address:
3810 NEW VISION DR
FORT WAYNE, IN
46845-1708
Practice Phone: 260-482-1004
Practice Fax: 260-483-7894
1922005123 — DR. LOUIS KNOBLE M.D.
Practice Location Address:
3810 NEW VISION DR
FORT WAYNE, IN
46845-1708
Practice Phone: 260-482-1004
Practice Fax: 260-483-7894
1780681924 — DR. MICHAEL YURKANIN M.D.
Practice Location Address:
3810 NEW VISION DR
FORT WAYNE, IN
46845-1708
Practice Phone: 260-482-1004
Practice Fax: 260-483-7894
1174504278 — KRISTINE BRIGGS-CONNELLY MSPT
Practice Location Address:
3844 NEW VISION DR
FORT WAYNE, IN
46845-1708
Practice Phone: 260-483-9933
Practice Fax: 260-483-9931

Directions to “ DR. PARDHA KANAGALA M.D.” 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.