Individual
JANSY KOLANDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7975 N HAYDEN RD, STE D354, SCOTTSDALE, AZ 85258-3243
(480) 214-9720
(480) 214-9722
Mailing address
8328 E. HARTFORD DR., SCOTTSDALE, AZ 85255
(480) 214-9505
(480) 214-9722
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
45264
AZ
207R00000X
Internal Medicine Physician
R70224
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
634046
—
AZ
Enumeration date
10/15/2009
Last updated
02/25/2020
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