Provider Demographics
NPI:1366404162
Name:KANDOV, RUBEN (MD)
Entity type:Individual
Prefix:DR
First Name:RUBEN
Middle Name:
Last Name:KANDOV
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:705 86TH STREET
Mailing Address - Street 2:SUITE M4
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228-3220
Mailing Address - Country:US
Mailing Address - Phone:347-245-7745
Mailing Address - Fax:347-245-7746
Practice Address - Street 1:705 86TH STREET
Practice Address - Street 2:SUITE M4
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228-3220
Practice Address - Country:US
Practice Address - Phone:347-245-7745
Practice Address - Fax:347-245-7746
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY238221207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease