Individual
SURAJ SANJAY KANDOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9300 W SUNSET RD, LAS VEGAS, NV 89148-4844
(702) 994-6996
Mailing address
9300 W SUNSET RD, LAS VEGAS, NV 89148-4844
(702) 994-6996
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/14/2025
Last updated
03/31/2026
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