Individual
NISHA K PANDIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
6990 ENGLE RD, MIDDLEBURG HEIGHTS, OH 44130-3420
(440) 202-4200
Mailing address
5455 N MARGINAL RD APT 524, CLEVELAND, OH 44114-3951
(516) 209-8431
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34014105
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FT05676Z
—
NY
Enumeration date
05/03/2016
Last updated
08/20/2019
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