Individual
DR. JITENDRA B. PANDYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
4239 FARNAM ST STE 100, OMAHA, NE 68131-2858
(402) 552-2320
(402) 552-2330
Mailing address
4239 FARNAM ST STE 100, OMAHA, NE 68131-2858
(402) 552-2320
(402) 552-2330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
28311
NE
207R00000X
Internal Medicine Physician
TEP 6512
NE
207RI0011X
Interventional Cardiology Physician
Primary
28311
NE
Other
Enumeration date
07/03/2011
Last updated
03/13/2020
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