KINGMAN GENERAL SURGERY PC
Radiology at Beverly Ave, Kingman, AZ

License number
Arizona 35696
Category
Radiology
Type
Surgery
Owner
Name: DR. RAMESH C TANDON M.D.
Title: OWNER
Phone: (928) 681-4440
Address
Address
1739 E Beverly Ave SUITE 218, Kingman, AZ 86409
National Provider ID: 1568512580
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KINGMAN GENERAL SURGERY PC

1739 Beverly Ave STE 218, Kingman, AZ 86409

Status:
Inactive
Inactive reason:
Ad-dissolved-file annual report
Registration:
Dec 4, 2006
Inactive since:
May 15, 2012
State ID:
-1320489-6
Expiration:
PERPETUAL
President:
Ramesh C Tandon (President), 29-45 Mtn Trl Rd, Kingman, AZ 86401 (Physical)
Business type:
HEALTH CARE

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