NPIMap

Organization Active NPI

Bakul K. Pandya, M.D.S.C.

  • Neurology Physician
  • Joliet, IL
National Provider Identifier
1114107422
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
BAKUL K. PANDYA, M.D.S.C.
Practice address
75 129TH Infantry Dr
Joliet, IL 60435
Phone
(815) 741-2301
Fax
(815) 741-2348
NPI assigned
Nov 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Bakul K Pandya, M.D.NPI 1104814342
Title
Owner
Phone
(815) 741-2301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X IL Primary

Addresses

Primary practice location

75 129TH Infantry Dr
Joliet, IL 60435

Mailing address

75 129TH Infantry Dr
Joliet, IL 60435-5134
Phone (815) 741-2301

National Provider Directory

National Provider Directory

Locations

75 N 129th Infantry Dr
Joliet, IL 60435
Phone (815) 714-2301

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1114107422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 129TH INFANTRY DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355134",
            "telephone_number": "815-741-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 129TH INFANTRY DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "60435",
            "telephone_number": "815-741-2301",
            "fax_number": "815-741-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKUL K. PANDYA, M.D.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "PANDYA",
        "authorized_official_first_name": "BAKUL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-741-2301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.