Individual
DR. NANDKUMAR DANDEKAR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 N 3RD AVE, STE 307, COVINA, CA 91723-1905
(626) 915-6406
(626) 967-7725
Mailing address
26816 VISTA TER, LAKE FOREST, CA 92630-8115
(949) 588-2190
(949) 588-2199
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A25061
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A250610
—
CA
Enumeration date
05/22/2006
Last updated
07/09/2007
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