Individual
VIR KUMAR NANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12998 HESPERIA RD, SUITE 204, VICTORVILLE, CA 92395-8316
(760) 780-4960
(760) 780-4964
Mailing address
12998 HESPERIA RD, SUITE 204, VICTORVILLE, CA 92395-8316
(760) 780-4960
(760) 780-4964
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A38883
CA
207RH0003X
Hematology & Oncology Physician
Primary
A38883
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A388830
—
CA
01
—
110232685
RAILROAD MEDICARE
CA
01
—
33-0324608
TRI CARE
CA
Enumeration date
06/28/2007
Last updated
05/04/2009
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