Individual
DR. PAVAN KUMAR TANDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
(773) 665-3000
Mailing address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125055728
IL
207RH0000X
Hematology (Internal Medicine) Physician
ME158361
FL
207RX0202X
Medical Oncology Physician
Primary
ME158361
FL
Other
Enumeration date
04/14/2010
Last updated
12/05/2022
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