Individual
DR. HEMANT PANDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4955 VAN NUYS BLVD, SUITE #502, SHERMAN OAKS, CA 91403-1817
(818) 325-0200
(818) 325-0210
Mailing address
4955 VAN NUYS BLVD, SUITE #502, SHERMAN OAKS, CA 91403-1817
(818) 325-0200
(818) 325-0210
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
14565R
LA
207RG0100X
Gastroenterology Physician
Primary
C54643
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1127647
—
LA
01
—
14565R
STATE LICENCE NUMBER
LA
Enumeration date
01/29/2007
Last updated
08/10/2011
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