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Organization
VIR K NANDA MD INC
Active
Organization
VIR K NANDA MD INC
Active
Other names
VIR K NANDA MD
Organization subpart
No
Provider details
NPI number
Authorized official
VIR KUMAR NANDA MD (PRESIDENT)
(760) 780-4960
Entity
Organization
Contact information
Practice address
12998 HESPERIA RD STE 204, VICTORVILLE, CA 92395-8317
(760) 780-4960
(760) 780-4964
Mailing address
12998 HESPERIA RD STE 204, VICTORVILLE, CA 92395-8317
(760) 780-4960
(760) 780-4964
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A388830
CA
207RH0003X
Hematology & Oncology Physician
Primary
A388830
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A388830
—
CA
01
—
0862090001
MEDICARE DME PROVIDER
—
01
—
5628485
OTHER ID NUMBER
—
Enumeration date
06/08/2005
Last updated
08/29/2022
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