Organization
JITENDRA VASANDANI, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIANCA WILLIAMS (CREDENTIALING COORDINATOR)
(561) 320-0993
Entity
Organization
Contact information
Practice address
10705 MILWAUKEE AVENUE, LUBBOCK, TX 79424-6153
(806) 740-3325
Mailing address
10705 MILWAUKEE AVENUE, LUBBOCK, TX 79424-6153
(806) 744-7223
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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