Individual
DR. UTPAL H PANDYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 GLENLAKE PKWY, KAISER PERMANENTE GLENLAKE MEDICAL CENTER, ATLANTA, GA 30328-3473
(419) 383-3925
(419) 383-6167
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 364-7070
(419) 383-2000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
064696
GA
207RC0000X
Cardiovascular Disease Physician
35086955
OH
Other
Enumeration date
12/01/2005
Last updated
01/07/2022
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