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Individual

SHREYASH N PANDYA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6000 49TH ST N, ST PETERSBURG, FL 33709-2114
(727) 521-5066
(727) 521-5137
Mailing address
6000 49TH ST N, ST PETERSBURG, FL 33709-2114
(727) 521-5066
(727) 521-5137

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
071114
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME111085
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
220033235
RRMC
MI
01
2204602122
BS
MI
05
4438699
MI
Enumeration date
04/06/2006
Last updated
05/09/2016
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