Individual
SUMMIT SUBHASH PANDAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 SAINT ELIZABETH BLVD STE 1800, O FALLON, IL 62269-1281
(618) 233-6044
(618) 233-5195
Mailing address
3 SAINT ELIZABETH BLVD STE 1800, O FALLON, IL 62269-1281
(618) 233-6044
(618) 233-5195
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036176457
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
036176457
IL
208M00000X
Hospitalist Physician
300519
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
05/09/2016
Last updated
09/03/2025
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