Individual
DEYANG TENZIN NYANDAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
195 CANAL STREET, MALDEN, MA 02148
(781) 338-0500
Mailing address
195 CANAL ST, MALDEN, MA 02148-6701
(201) 951-7973
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
287398
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275834
—
MA
Enumeration date
05/21/2018
Last updated
06/30/2021
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