Individual
DR. AJITABH PANDEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1670 CLAIRMONT RD, VAMC - ATLANTA (MENTAL HEALTH SERVICE, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
515 N DOOLIN DR, ROSWELL, GA 30076-5130
(770) 649-1800
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
060955
GA
2084P0800X
Psychiatry Physician
25MA08174700
NJ
Other
Enumeration date
11/17/2006
Last updated
02/02/2015
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