Healthcare Provider Details

I. General information

NPI: 1295915171
Provider Name (Legal Business Name): SHILPA PANDEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2007
Last Update Date: 12/01/2022
Certification Date: 11/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2813 S HIAWASSEE RD STE 303
ORLANDO FL
32835-6690
US

IV. Provider business mailing address

2813 S HIAWASSEE RD STE 303
ORLANDO FL
32835-6690
US

V. Phone/Fax

Practice location:
  • Phone: 407-900-1317
  • Fax: 407-602-0816
Mailing address:
  • Phone: 407-900-1317
  • Fax: 407-602-0816

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License NumberME121787
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: