R. NANDAN M.D. INC NPI 1639196579

NPI Information

  • NPI: 1639196579
  • Provider Name: R. NANDAN, M.D., INC
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Organization
  • Address: 3650 SOUTH ST
    212
    LAKEWOOD, CA
    ZIP 90712
  • Phone: (562) 272-7630

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NPI Details

R. NANDAN, M.D., INC is a hematology and oncology internal medicine in Lakewood, CA. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. R. NANDAN, M.D., INC NPI is 1639196579. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3650 SOUTH ST
212
LAKEWOOD, CA
ZIP 90712-502
Phone: (562) 272-7630
Fax: (562) 272-7631

The provider's authorized official is Raghu Nandan .
The authorized official title is President and has the following contact phone number (562) 272-7630.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 3/12/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0003XInternal MedicineHematology & OncologyA51197CALIFORNIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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