Individual
HENRY M ANDOH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3161 L ST, SACRAMENTO, CA 95816
(916) 887-7862
(916) 736-5533
Mailing address
10470 OLD PLACERVILLE RD STE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
A127048
CA
2085R0202X
Diagnostic Radiology Physician
2019028995
MO
2085R0202X
Diagnostic Radiology Physician
A127048
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401558
—
AZ
Enumeration date
07/31/2012
Last updated
03/04/2020
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