Individual
DR. PARAS KANAKRAY PANDYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
405 W JACKSON ST, CARBONDALE, IL 62901
(618) 549-0721
(618) 457-0469
Mailing address
14613 LANDER RD, MIDLOTHIAN, VA 23113-6731
(804) 897-1642
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101840441
VA
207P00000X
Emergency Medicine Physician
01091667A
IN
207P00000X
Emergency Medicine Physician
036146689
IL
207P00000X
Emergency Medicine Physician
Primary
62928
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0078251
—
OH
05
—
197929
—
VA
01
—
234124
BLUE SHIELD
VA
Enumeration date
01/31/2006
Last updated
09/02/2025
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