Physician Compare National (NPI:1730440462)

HEALTHCARE PROVIDER: PUNEET SANDHU PANDE DDS

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1730440462
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0840524062
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190621001957
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PANDE
	Individual professional last name
Provider First Name	PUNEET
	Individual professional first name
Provider Middle Name	SANDHU
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIV OF CALIF, LOS ANGELES SCHOOL OF DENTISTRY
	Individual professional's medical school
Graduation Year	2004
	Individual professional's medical school graduation year
Primary Specialty	DENTIST
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	ORAL SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	ORAL SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	414 S MAIN ST
	Group Practice or individual's line 1 address
City	MILPITAS
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	950355319
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y