# PRABHAT K. TANDON, MD PC

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

## Provider details

- **NPI number:** 1942362462
- **Authorized official:** DR. PRABHAT KUMAR TANDON M.D. (PRESIDENT)
- **Authorized official phone:** (484) 821-0255

## Contact information

- **Practice address:** 2591 BAGLYOS CIR, SUITE C49, BETHLEHEM, PA 18020-8043
- **Practice address phone:** (484) 821-0255
- **Practice address fax:** (484) 821-0287
- **Mailing address:** 2591 BAGLYOS CIR, SUITE C49, BETHLEHEM, PA 18020-8043
- **Mailing address phone:** (484) 821-0255
- **Mailing address fax:** (484) 821-0287

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 25MA07690200 | NJ | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | MD072463L | PA | Yes |

## Other

- **Enumeration date:** 12/14/2006
- **Last updated:** 09/17/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1671656 | HIGHMARK BS | PA |