Individual
SANJAY W KANDOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3025 S MARYLAND PKWY, SUITE #B, LAS VEGAS, NV 89109-6221
(702) 254-5437
(702) 254-7354
Mailing address
PO BOX 60515, LAS VEGAS, NV 89160-0515
(702) 254-5437
(702) 254-7354
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9350
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002018417
—
NV
05
—
003102417
—
NV
Enumeration date
10/11/2005
Last updated
07/08/2007
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