Individual
JIMIT A PANDYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 PAGE ST, NEW BEDFORD, MA 02740-3464
(508) 973-5919
(508) 973-5916
Mailing address
200 MILL RD, STE 180, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
263370
MA
208M00000X
Hospitalist Physician
Primary
263370
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110104110A
—
MA
05
—
1790041846
—
RI
Enumeration date
04/03/2012
Last updated
04/23/2020
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