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Organization

PRADEEP K PANDYA MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PRADEEP K PANDYA M.D. (PRESIDENT)
(740) 687-1247
Entity
Organization

Contact information

Practice address
131 N EWING ST, SUITE A, LANCASTER, OH 43130-3383
(740) 687-1247
(740) 687-3594
Mailing address
131 N EWING ST, SUITE A, LANCASTER, OH 43130-3383
(740) 687-1247
(740) 687-3594

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35044049
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0400391
OH
01
35044049
LICENSE
OH
Enumeration date
09/28/2010
Last updated
03/07/2023
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