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Individual

PARESH PANDYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4206
(215) 662-7119
(215) 662-7200
Mailing address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4206
(215) 662-7119
(215) 662-7200

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD070128L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1011610720001
PA
Enumeration date
12/20/2005
Last updated
03/25/2021
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