Individual
DR. SUKUMAR PANDIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1150 1ST AVE, SUITE 805, KING OF PRUSSIA, PA 19406-1334
(484) 681-2249
(484) 681-2250
Mailing address
1150 1ST AVE, SUITE 805, KING OF PRUSSIA, PA 19406-1334
(484) 681-2249
(484) 681-2250
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
12928 TPA
CA
152W00000X
Optometrist
Primary
OEG 002556
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366487118
—
CA
Enumeration date
06/17/2006
Last updated
09/04/2012
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