Tanvi Shyamsundar Pangam

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS045644 Issued in PA

Practice address

4207 State Rd
Drexel Hill, PA 19026-3321

Phone

(610) 580-2094

NPI assigned

May 20, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Meshkov-Reed Dental Associates PC

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1891800413
  NPD (past)
• Penn Smile Care PC

  • Dental Clinic/Center
  • Philadelphia, PA
  • NPI 1750069340
  NPD (past)

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

{
    "created_epoch": "1779235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1548190804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 STATE RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190263321",
            "telephone_number": "610-580-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 STATE RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190263321",
            "telephone_number": "610-580-2094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6421 Bustleton Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191492905",
            "country_code": "US",
            "telephone_number": "215-535-0874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANGAM",
        "first_name": "TANVI",
        "middle_name": "SHYAMSUNDAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS045644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Paisner
• Pamela Miller Lunardi, Psy.D., P.C.
• Pandolfo Chiropractic Center
• John Pandolfo, D.C.
• John Russell Pandolfo
• April Keeling Papa, D.O.
• Homayoon Pasdar, MD
• Harsh Patel, DMD
• Nikul Patel, DO
• Brittany Alease Patton, NP

• General Practice Dentistry in Drexel Hill, PA
• Providers in Drexel Hill, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.