Individual
KHYATI PANDYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
24022 CALLE DE LA PLATA STE 500, LAGUNA HILLS, CA 92653-7612
(877) 430-7337
Mailing address
3080 BRISTOL ST STE 150, COSTA MESA, CA 92626-3068
(714) 445-0228
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
23529
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04523542
—
MS
05
—
2406761
—
LA
05
—
3119940
—
OH
Enumeration date
07/13/2007
Last updated
11/12/2024
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