Individual
DR. NITEEN S ANDALKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2045 S VINEYARD, STE. 142, MESA, AZ 85210-6889
(480) 330-6010
(480) 507-0019
Mailing address
2045 S VINEYARD, STE. 142, MESA, AZ 85210-6889
(480) 330-6010
(480) 507-0019
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
35878
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115379
—
AZ
01
—
35878
STATE LICENSE
AZ
Enumeration date
07/02/2006
Last updated
09/13/2010
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