Individual
DR. PAVAN KUMAR TANDRA
Active
Individual
DR. PAVAN KUMAR TANDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115972500
—
FL
Enumeration date
04/14/2010
Last updated
06/02/2026
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