Individual
KEVIN CHARLES SHANDERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
C146245
CA
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
C146245
CA
Other
Enumeration date
06/02/2006
Last updated
03/08/2022
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