Individual
PRATIMA PANDEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 W 7TH ST, FREDERICK, MD 21701-4506
(843) 237-3378
(843) 237-5073
Mailing address
PO BOX 601360, CHARLOTTE, NC 28260-1360
(843) 237-3378
(843) 237-5073
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0064910
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810006316
—
WV
05
—
411889800
—
MD
01
—
89461901
BCBS OF MD
MD
01
—
P00383198
RAILROAD MEDICARE
MD
Enumeration date
11/29/2006
Last updated
03/17/2009
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