Individual
DR. DESH SANJEEV NANDEDKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
29 HOSPITAL PLZ STE 505, STAMFORD, CT 06902-3602
(203) 348-2437
Mailing address
29 HOSPITAL PLZ STE 505, STAMFORD, CT 06902-3602
(203) 348-2437
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
264709
NY
207RP1001X
Pulmonary Disease Physician
Primary
264709
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55321
STATE LICENSE
CT
Enumeration date
06/17/2008
Last updated
12/14/2022
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