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General NPI Number Information
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NPI Number | 1154231173
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Entity Type | Organization
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Legal Business Name | PANDA CARE LLC
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 4445 WILLARD AVE # 17594257
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City | CHEVY CHASE
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State | MD
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Zip | 20815-3690
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Country | US
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Telephone | 502-785-9794
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Fax |
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Provider Business Mailing Address
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Address Line | 9901 LINN STATION RD STE 500
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City | LOUISVILLE
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State | KY
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Zip | 40223-3881
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Country | US
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Telephone | 502-785-9794
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. NISHI RAWAT
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Credential | MD
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Telephone | 502-785-9794
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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