Individual
DR. DHEERAJ NANDANOOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2357 W MARCH LN, STOCKTON, CA 95207-5239
(209) 472-2300
(209) 472-2446
Mailing address
2357 W MARCH LN, STOCKTON, CA 95207-5239
(209) 472-2300
(209) 472-2446
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A153227
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2014
Last updated
09/12/2024
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