Individual
HARIVALLABH D PANDYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
28300 HARPER AVE, ST CLAIR SHORES, MI 48081-1686
(586) 778-6090
(586) 778-1943
Mailing address
28300 HARPER AVE, ST CLAIR SHORES, MI 48081-1686
(586) 778-6090
(586) 778-1943
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
HP047131
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3113474
—
MI
Enumeration date
06/07/2006
Last updated
04/30/2008
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