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Organization
PRABHAT K. TANDON, MD PC
Active
Organization
PRABHAT K. TANDON, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRABHAT KUMAR TANDON M.D. (PRESIDENT)
(484) 821-0255
Entity
Organization
Contact information
Practice address
2591 BAGLYOS CIR, SUITE C49, BETHLEHEM, PA 18020-8043
(484) 821-0255
(484) 821-0287
Mailing address
2591 BAGLYOS CIR, SUITE C49, BETHLEHEM, PA 18020-8043
(484) 821-0255
(484) 821-0287
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
25MA07690200
NJ
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD072463L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1671656
HIGHMARK BS
PA
Enumeration date
12/14/2006
Last updated
09/17/2013
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