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Individual

MAYUR M PANDYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2000 AUBURN DR STE 200, BEACHWOOD, OH 44122-4328
(216) 378-7635
Mailing address
6000 W CREEK RD, SUITE 10, INDEPENDENCE, OH 44131-2139
(800) 223-2273

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
34008563
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2742116
OH
Enumeration date
06/25/2007
Last updated
04/29/2020
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