Provider Demographics
NPI:1578577813
Name:KANDALAFT, NAJI (MD)
Entity Type:Individual
Prefix:DR
First Name:NAJI
Middle Name:
Last Name:KANDALAFT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 W CARROLL AVE
Mailing Address - Street 2:STE 204
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91741-4240
Mailing Address - Country:US
Mailing Address - Phone:626-852-8873
Mailing Address - Fax:626-852-8874
Practice Address - Street 1:412 W CARROLL AVE
Practice Address - Street 2:STE 204
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91741-4240
Practice Address - Country:US
Practice Address - Phone:626-852-8873
Practice Address - Fax:626-852-8874
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-29
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA46044207RC0000X, 207RI0011X, 207R00000X, 207UN0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology