Provider Demographics
NPI:1124644778
Name:KADARI, ANIL KUMAR (RPH)
Entity type:Individual
Prefix:
First Name:ANIL
Middle Name:KUMAR
Last Name:KADARI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3169 MOUNT PLEASANT ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2709
Mailing Address - Country:US
Mailing Address - Phone:202-387-3100
Mailing Address - Fax:202-387-2435
Practice Address - Street 1:3169 MOUNT PLEASANT ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2709
Practice Address - Country:US
Practice Address - Phone:202-387-3100
Practice Address - Fax:202-387-2435
Is Sole Proprietor?:No
Enumeration Date:2020-06-19
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPH100003822183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist