Individual
NAVEEN NANDANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1051 CARE WAY, FREDERICKSBURG, VA 22401-8425
(540) 374-3131
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A171166
CA
208800000X
Urology Physician
Primary
A171166
CA
Other
Enumeration date
11/16/2011
Last updated
06/17/2024
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