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Individual
MANDIP KC
Active
Individual
MANDIP KC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
60475
MN
207RG0100X
Gastroenterology Physician
Primary
DR.0068727
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
05/02/2013
Last updated
08/23/2023
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