Healthcare Provider Details

I. General information

NPI: 1922479302
Provider Name (Legal Business Name): STEPHANIE PANDAY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2015
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 LEE ST # 800710
CHARLOTTESVILLE VA
22908-0816
US

IV. Provider business mailing address

1215 LEE ST # 800710
CHARLOTTESVILLE VA
22908-0816
US

V. Phone/Fax

Practice location:
  • Phone: 434-982-0629
  • Fax: 943-498-2001
Mailing address:
  • Phone: 434-982-0629
  • Fax: 943-498-2001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number0116041602
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberME180306
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP3249952
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: