Individual
VINIT PANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 MUNDY ST, WILKES BARRE, PA 18702-6830
(570) 824-0930
(570) 824-7755
Mailing address
150 MUNDY ST, WILKES BARRE, PA 18702-6830
(570) 824-0930
(570) 824-7755
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD417162
PA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
MD417162
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001862843-0002
—
PA
01
—
050193
BLUE CARE
PA
01
—
20026525
AMERIHEALTH
PA
01
—
250012570
RAILROAD MEDICARE
PA
01
—
2651325
AETNA
PA
01
—
50075039
CAPITAL BLUE CROSS
PA
01
—
64864-1067
GEISINGER
PA
01
—
813705
BLUE CARE HMO (FPH)
PA
Enumeration date
08/30/2005
Last updated
02/23/2015
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