Individual
PRUTHVISH PANDYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8111 S EMERSON AVE, INDIANAPOLIS, IN 46237-8601
(317) 566-1000
Mailing address
450 E 96TH ST STE 200, INDIANAPOLIS, IN 46240-3797
(317) 566-1000
(317) 566-1700
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01045239
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200161760
—
IN
Enumeration date
07/26/2006
Last updated
03/26/2021
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