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Individual

MR. DESIRE N KETCHANDJI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
350 PARRISH ST, CANANDAIGUA, NY 14424-1731
(585) 919-2668
(585) 396-6455
Mailing address
601 ELMWOOD AVE BOX 604, ROCHESTER, NY 14642-0001
(585) 275-1385

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
315109
NY
207L00000X
Anesthesiology Physician
71748
CT
207L00000X
Anesthesiology Physician
MD194535
OR
207L00000X
Anesthesiology Physician
MD29090
ME
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
71748
CT
363AM0700X
Medical Physician Assistant
315109
NY

Other

Enumeration date
04/16/2015
Last updated
02/07/2025
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