Individual
DR. AMISH DUSHYANT PANDYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9335 CALUMET AVE, SUITE A, MUNSTER, IN 46321-4175
(219) 836-2092
(219) 836-9501
Mailing address
9335 CALUMET AVE, SUITE A, MUNSTER, IN 46321-4175
(219) 836-2092
(219) 836-9501
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011539A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201048300
—
IN
Enumeration date
10/26/2005
Last updated
04/23/2013
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