Organization
N V DANEKAR M D A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANDKUMAR DANDEKAR MD (PRESIDENT)
(949) 588-2190
Entity
Organization
Contact information
Practice address
3235 VILLA HIGHLANDS DR, PASADENA, CA 91107-1537
(949) 588-2190
(949) 588-2199
Mailing address
5 HOLLAND STE 101, IRVINE, CA 92618-2568
(949) 588-2190
(949) 588-2199
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A25061
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A250610
—
CA
Enumeration date
07/10/2007
Last updated
12/18/2007
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