Individual
NISHA SANDESARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2425 SAMARITAN DR, SAN JOSE, CA 95124-3908
(310) 423-5161
Mailing address
2425 SAMARITAN DR, SAN JOSE, CA 95124-3908
(310) 423-5161
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A123294
CA
208M00000X
Hospitalist Physician
Primary
A123294
CA
Other
Enumeration date
08/12/2011
Last updated
11/09/2017
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