Individual
SANDHYA MARADANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 E 20TH ST STE 230, CHEYENNE, WY 82001-3869
(307) 996-4770
(307) 638-8851
Mailing address
55 LAKE AVE N, WORCESTER, MA 01655-0002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
15775A
WY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
15775A
WY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/18/2017
Last updated
11/11/2024
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