Individual
DR. MAHESH ANDANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-2843
(336) 716-2255
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-9252
(336) 716-0030
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
47172
KY
208M00000X
Hospitalist Physician
Primary
2020-00269
NC
208M00000X
Hospitalist Physician
47172
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0108390
—
OH
05
—
7100344220
—
KY
Enumeration date
11/28/2011
Last updated
09/22/2022
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