Individual
DR. SHANTI PANDEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
821 MAIN ST, FAYETTE, MS 39069-0008
(601) 786-3792
Mailing address
PO BOX 8, FAYETTE, MS 39069-0008
(601) 786-3792
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
05823
MS
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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