Prabhat K. Tandon, MD PC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

MD072463L Issued in PA

Legal business name

PRABHAT K. TANDON, MD PC

Practice address

2591 Baglyos Cir
Suite C49
Bethlehem, PA 18020-8043

Phone

(484) 821-0255

Fax

(484) 821-0287

NPI assigned

Dec 14, 2006

Last updated

Sep 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Prabhat Kumar Tandon, M.D.

Title

President

Phone

(484) 821-0255

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379376000000",
    "number": "1942362462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2591 BAGLYOS CIR",
            "address_2": "SUITE C49",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208043",
            "telephone_number": "484-821-0255",
            "fax_number": "484-821-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2591 BAGLYOS CIR",
            "address_2": "SUITE C49",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208043",
            "telephone_number": "484-821-0255",
            "fax_number": "484-821-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRABHAT K. TANDON, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2013-09-17",
        "status": "A",
        "authorized_official_last_name": "TANDON",
        "authorized_official_first_name": "PRABHAT",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "484-821-0255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NJ",
            "license": "25MA07690200",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD072463L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "1671656",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Endocrinology, Diabetes & Metabolism Physician in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Endocrinology, Diabetes & Metabolism Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.