Individual
ANDALIB DANANDEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 W OTTLEY AVE, FRUITA, CO 81521-2118
(970) 858-2211
Mailing address
PO BOX 130, FRUITA, CO 81521-0130
(970) 858-2211
(970) 858-2208
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
326218
LA
207Q00000X
Family Medicine Physician
65198
TN
207Q00000X
Family Medicine Physician
Primary
DR.0074372
CO
Other
Enumeration date
07/01/2018
Last updated
11/20/2025
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