Individual
DR. KULDEEP RAJ PANDIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
327 N ELM ST, HENDERSON, KY 42420-2929
(270) 826-1234
(270) 826-4841
Mailing address
327 N ELM ST, HENDERSON, KY 42420-2929
(270) 826-1234
(270) 826-4841
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
01039387A
IN
207RP1001X
Pulmonary Disease Physician
Primary
27834
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000049673
IN AND KY BCBS #
KY
05
—
200124930A
—
IN
05
—
64278344
—
KY
01
—
K008692
TRICARE CHAMPUS #
KY
Enumeration date
08/14/2006
Last updated
07/09/2007
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