Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Dheeraj Nandanoor, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053725820

Dr. Dheeraj Nandanoor, MD is an Internal Medicine in Stockton, California. Qualified in 2008, 18 years ago. Practices as a sole proprietor, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
18
Licensed in
CA
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2357 W March Ln
Stockton, CA 95207-5239
Phone: (209) 472-2300
Fax: (209) 472-2446
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1800 N California St, Stockton, CA 95204-6019 — (209) 943-2000
  • 1650 Selwyn Ave, Bronx, NY 10457-7626 — (718) 516-5900

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A153227 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1053725820
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 19, 2014
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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