# CAPITAL DISTRICT PODIATRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528696259
- **Authorized official:** TEJAS PANDYA MD (OWNER)
- **Authorized official phone:** (518) 982-1065

## Contact information

- **Practice address:** 855 ROUTE 146 BLDG B, CLIFTON PARK, NY 12065-3885
- **Practice address phone:** (518) 982-1065
- **Practice address fax:** (518) 271-2052
- **Mailing address:** 763 HOOSICK STREET, TROY, NY 12180-6646
- **Mailing address phone:** (518) 273-0053
- **Mailing address fax:** (518) 271-2052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 03/30/2020
- **Last updated:** 10/29/2021