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Individual

AMIT SATISH DANDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1770 E LAKE SHORE DR STE 105, DECATUR, IL 62521-3800
(217) 422-6100
Mailing address
1770 E LAKE SHORE DR STE 105, DECATUR, IL 62521-3800
(217) 422-6100

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
036132120
IL
207RI0011X
Interventional Cardiology Physician
267305
NY

Other

Enumeration date
12/04/2007
Last updated
12/21/2021
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