Pradeep K Pandya MD Inc

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

35044049 Issued in OH

Legal business name

PRADEEP K PANDYA MD INC

Practice address

131 N Ewing St
Suite a
Lancaster, OH 43130-3383

Phone

(740) 687-1247

Fax

(740) 687-3594

NPI assigned

Sep 28, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Pradeep K Pandya, M.D.

Title

President

Phone

(740) 687-1247

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1225347131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 N EWING ST",
            "address_2": "SUITE A",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303383",
            "telephone_number": "740-687-1247",
            "fax_number": "740-687-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 N EWING ST",
            "address_2": "SUITE A",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303383",
            "telephone_number": "740-687-1247",
            "fax_number": "740-687-3594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRADEEP K PANDYA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "PANDYA",
        "authorized_official_first_name": "PRADEEP",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-687-1247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "OH",
            "license": "35044049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "35044049",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0400391",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.