Individual
KEVIN CHARLES SHANDERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 346-8555
(760) 346-8666
Mailing address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 346-8555
(760) 346-8666
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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