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Individual

AMIT G PANDYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
701 E EL CAMINO REAL, MOUNTAIN VIEW, CA 94040-2833
(650) 934-7676
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
C166658
CA
207N00000X
Dermatology Physician
H1013
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
119054801
TX
Enumeration date
03/18/2006
Last updated
01/08/2020
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