Individual
SUBODH PANDIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
NAPLES ROAD, FLETCHER, NC 28732
(904) 805-1300
(904) 805-1302
Mailing address
PO BOX 532666, ATLANTA, GA 30353-2666
(904) 805-1300
(904) 805-1302
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127JF
BLUE CROSS
NC
05
—
89136XC
—
NC
Enumeration date
05/23/2006
Last updated
04/18/2008
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