| Doctor Name: | USHA V KANAKAMEDALA |
| NPI Number: | 1801840236 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | MD061561L |
| Business Practice Address: | 4500 S Garnett Rd Ste 300 Tulsa, OK - 741465238 |
| Business Phone Number: | 9187286194 |
| Business Fax Number: | 9186640267 |
| Mailing Address: | 4500 S Garnett Rd Ste 300, TULSA |
| State: | OK |
| Postal Code: | 741465238 |
| Phone Number: | 9187286194 |
| Fax Number: | 9186640267 |
| NPI Enumeration Date: | 05/20/2006 |
| NPI Last Update Date: | 08/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | MD061561L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |