Organization
AVI PANDEY, M.D., PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVI K PANDEY M.D. (MEDICAL DOCTOR)
(718) 454-1040
Entity
Organization
Contact information
Practice address
6118 190TH ST, SUITE 229, FRESH MEADOWS, NY 11365-2723
(718) 454-1040
(718) 454-7992
Mailing address
8045 SURREY PL, JAMAICA, NY 11432-1450
(718) 454-1040
(718) 454-7992
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
171605
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006748
GHI
—
05
—
01457221
—
NY
01
—
0801348
UNITED MEDICARE
—
01
—
0C8079
HEALTHNET
—
01
—
1114040
UNITED HEALTHCARE
—
01
—
159853
ELDERPLAN
—
01
—
171605A71
HEALTHFIRST MEDICAID
—
01
—
180018329
RAILROAD MEDICARE
—
01
—
36E361
EMPIRE MEDICARE
—
01
—
36E363
BCBS
—
01
—
3938872
1199 NATIONAL BENEFIT
—
01
—
513607
AETNA
—
01
—
DS459
OXFORD
—
Enumeration date
03/23/2011
Last updated
03/23/2011
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