Individual
DR. SHANKHA NANDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
36320 INLAND VALLEY DR, SUITE 308, WILDOMAR, CA 92595-7512
(951) 600-7630
(951) 600-7164
Mailing address
3660 PARK SIERRA DR STE 203, RIVERSIDE, CA 92505-3071
(951) 687-3400
(951) 687-7630
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
20A10347
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437326410
—
CA
Enumeration date
05/09/2008
Last updated
08/05/2021
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