Individual
SANJIV KANDIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MSC09 5040 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-1002
(505) 272-6607
(505) 272-8045
Mailing address
1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 861-9066
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4351045143
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801448972
—
MI
Enumeration date
07/09/2019
Last updated
06/30/2022
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