Individual
SANDEEP CHANDU SANGODKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3770 ELIZABETH ST, RIVERSIDE, CA 92506-2527
(951) 352-3937
Mailing address
3770 ELIZABETH ST, RIVERSIDE, CA 92506-2527
(951) 352-3937
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
20A15505
CA
390200000X
Student in an Organized Health Care Education/Training Program
R09-2014
NM
Other
Enumeration date
07/20/2010
Last updated
07/21/2022
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