Individual
DATTABEN PANDYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1579 OLIVE BRANCH PARKE LN STE 180, GREENWOOD, IN 46143-5754
(317) 879-4850
Mailing address
1579 OLIVE BRANCH PARKE LN STE 180, GREENWOOD, IN 46143-5754
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71013503A
IN
363LF0000X
Family Nurse Practitioner
Primary
71013503A
IN
Other
Enumeration date
01/19/2023
Last updated
02/12/2025
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