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1699772889
PARDHA KANAGALA
FORT WAYNE, IN
NPI
1699772889
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: IN 01028077A)
Enumeration Date
2005-07-01
Last Update Date
2018-11-01
Business Address
Dr. PARDHA KANAGALA M.D.
3810 NEW VISION DR
FORT WAYNE, IN 46845-1708
Phone number: 260-482-1004
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Mailing Address
Dr. PARDHA KANAGALA M.D.
3702 NEW VISION DR BLDG B
FORT WAYNE, IN 46845-1703
Phone number: 260-266-8210
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