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

Mayuresh Nandkeolyar

Individual provider Athletic Trainer · NPI 1063909190

Mayuresh Nandkeolyar is an Athletic Trainer in San Jose, California. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

5460 Don Diablo Ct
San Jose, CA 95123-3113
Phone: (408) 464-2030
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1063909190
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 14, 2018
Last updated in NPPESApril 14, 2018
Mailing address5460 Don Diablo Ct, San Jose, CA 95123-3113

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