Kandoth, Sanjay W

Kandoth, Sanjay W is an individual health care provider with primary practice located at 3025 S Maryland Pkwy Suite #B, Las Vegas NV 89109-6221. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kandoth, Sanjay W can be contacted via phone (702) 254-5437.

Contact Information

Primary practice address
3025 S Maryland Pkwy Suite #B Las Vegas NV 89109-6221
Phone: (702) 254-5437
Fax: (702) 254-7354
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 9350 Nevada

Profile Details

NPI number 1821086190
LBN Legal business name Kandoth, Sanjay W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821086190 NPPES
Nevada MEDICAID 002018417
Nevada MEDICAID 003102417

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