Individual
DR. DEEPA NANDYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1620 E ROSEVILLE PKWY, ROSEVILLE, CA 95661-3995
(916) 783-7109
Mailing address
1620 E ROSEVILLE PKWY, ROSEVILLE, CA 95661-3995
(916) 783-7109
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301088586
MI
207RC0000X
Cardiovascular Disease Physician
Primary
A128074
CA
Other
Enumeration date
07/13/2009
Last updated
07/23/2024
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