Individual
DR. OM NARAYAN PANDEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
313 E 12TH ST, AUSTIN, TX 78701-1954
(512) 324-9650
Mailing address
1601 RIO GRANDE ST, SUITE 340, AUSTIN, TX 78701-1137
(512) 324-8960
(512) 324-8962
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M9566
TX
207RH0003X
Hematology & Oncology Physician
Primary
M9566
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194034802
—
TX
05
—
194034803
—
TX
Enumeration date
01/17/2006
Last updated
01/29/2013
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