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KANNAN KANDALLU MD
NPI 1740279082
Radiology - Diagnostic Radiology in Hammond, IN

Active since October 19, 2005
5454 HOHMAN AVE, HAMMOND, IN 46320(219) 933-2006(219) 738-6714 Get Directions Write a Review

NPPES record last updated: January 25, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kannan Kandallu Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KANNAN KANDALLU MD (NPI 1740279082) is an individual diagnostic radiology provider in Hammond, Indiana, licensed in Indiana (01046704) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1740279082
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameKANNAN KANDALLUCredential: MD
Location Address5454 HOHMAN AVEHammond, IN 46320-1931
Mailing Address55 E 86th Ave, Po Box 10645Merrillville, IN 46410-6382 · (219) 769-1670 · Fax (216) 738-6714
Phone(219) 933-2006
Fax(219) 738-6714
Sole ProprietorNo
Enumeration DateOctober 19, 2005
Last NPPES UpdateJanuary 25, 2012
✔ NPI 1740279082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in IN · 01046704
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License 01046704 (IN)
5454 HOHMAN AVE, Hammond, IN 46320
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Other Identifiers 4

Medicare UPING60727IN
Medicaid200157240IN
Medicare PIN211520BIN
Medicare PINM400056179IN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEAN M ROCHE CRNA
Nurse Anesthetist, Certified Registered
5454 HOHMAN AVE
HAMMOND, IN 46320
Lake County (219) 933-2270
DR. EMMANUEL OJOMO MD
Obstetrics & Gynecology
5454 HOHMAN AVE
HAMMOND, IN 46320
Lake County (219) 933-2229
ALISHA KETTNER CRNA
Nurse Anesthetist, Certified Registered
5454 HOHMAN AVE
HAMMOND, IN 46320
Lake County (219) 933-2270
CORTNEY SLOAN PALENCIA D.O.
Emergency Medicine
5454 HOHMAN AVE
HAMMOND, IN 46320
Lake County (219) 932-2300
DR. NICHOLAS EDWARD MAZUR D.O.
Emergency Medicine
5454 HOHMAN AVE
HAMMOND, IN 46320
Lake County (219) 933-2077
FRANCISCAN HEALTH DYER & HAMMOND
Home Health
5454 HOHMAN AVE
HAMMOND, IN 46320
Lake County (219) 933-6663
ST. MARGARET MERCY HEALTHCARE CENTER
Durable Medical Equipment & Medical Supplies
5454 HOHMAN AVE
HAMMOND, IN 46320
Lake County (800) 353-2961
LAKE IMAGING, LLC
Radiology (Body Imaging)
5454 HOHMAN AVE
HAMMOND, IN 46320
Lake County (219) 933-2006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kannan Kandallu's NPI number?

The NPI number for Kannan Kandallu is 1740279082. It was assigned to this individual provider in the NPPES registry on October 19, 2005.

Where is Kannan Kandallu located?

Kannan Kandallu practices at 5454 Hohman Ave, Hammond, IN 46320. The listed phone number is (219) 933-2006.

What is Kannan Kandallu's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Kannan Kandallu was last updated on January 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.