Organization
SANJAY KANDOTH MD PC
Active
Parent organization
SANJAY KANDOTH MD PC
Other names
SUNRISE PEDIATRICS
Organization subpart
Yes
Provider details
NPI number
Legal business name
SANJAY KANDOTH MD PC
Authorized official
DR. SANJAY W KANDOTH MD (PRESIDENT)
(702) 254-5437
Entity
Organization
Contact information
Practice address
7875 S RAINBOW BLVD, SUITE 102, LAS VEGAS, NV 89139-6469
(702) 254-5437
(702) 254-7354
Mailing address
PO BOX 60515, LAS VEGAS, NV 89160
(702) 254-5437
(702) 254-7354
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9350
NV
Other
Enumeration date
04/20/2011
Last updated
04/20/2011
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