NPI 1063971380 · live from the CMS NPI Registry
Nikhil Reddy Kanthala
Radiology, Diagnostic Radiology in Newark, DE. National Provider Identifier 1063971380, active.
NPI record
| NPI | 1063971380 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 4755 Ogletown Stanton Rd, Newark, DE 19718 |
| Practice phone | 302-733-1000 |
| Enumerated | March 16, 2019 |
| Last updated | November 6, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Radiology, Diagnostic Radiology primary | 2085R0202X | 25MB12346800 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.