| Doctor Name: | DR. MONISHA DANDEKAR |
| NPI Number: | 1093832131 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 4301087859 |
| Business Practice Address: | 10330 Hickman Mills Dr Kansas City, MO - 641371618 |
| Business Phone Number: | 8164127004 |
| Business Fax Number: | 8167637536 |
| Mailing Address: | 14275 Midway Rd, Suite 400 ADDISON |
| State: | TX |
| Postal Code: | 750013614 |
| Phone Number: | 2149328029 |
| Fax Number: | 6102714245 |
| NPI Enumeration Date: | 03/23/2007 |
| NPI Last Update Date: | 11/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | 4301087859 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |