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General NPI Number Information
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NPI Number | 1982803524
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Entity Type | Individual
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Provider Name | KHYATI PANDYA M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/13/2007
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 24022 CALLE DE LA PLATA STE 500
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-7612
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Country | US
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Telephone | 877-430-7337
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Fax |
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Provider Business Mailing Address
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Address Line | 3080 BRISTOL ST STE 150
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City | COSTA MESA
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State | CA
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Zip | 92626-3068
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Country | US
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Telephone | 714-445-0228
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | 23529
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License Number State | MS
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