Individual
AZITA BANANDARGAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3652 W SHIELDS AVE, FRESNO, CA 93722
(800) 492-4227
Mailing address
3652 W SHIELDS AVE, FRESNO, CA 93722
(800) 492-4227
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP95023261
CA
Other
Enumeration date
12/30/2022
Last updated
02/20/2026
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