Individual
SIDDHARTA PRASAD NANDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4100 GOSS RD SW, HUNTSVILLE, AL 35809-0001
(256) 955-8888
Mailing address
4100 GOSS RD SW, HUNTSVILLE, AL 35809-0001
(256) 955-8888
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01066522A
IN
207Q00000X
Family Medicine Physician
Primary
32728
AL
Other
Enumeration date
06/11/2007
Last updated
10/12/2016
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