MEDICARE: DR. RISHI PANDYA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	036.150193	IL
2	207RI0011X	Interventional Cardiology Physician	036150193	IL

General Provider Information

NPI Number	:	1043699275
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RISHI PANDYA

Provider Business Mailing Address
First Line	:	2222 W DIVISION ST STE 100
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-3093
Country	:	US
Telephone Number	:	773-326-2244
Fax Number	:

Provider Business Practice Location Address
First Line	:	2222 W DIVISION ST STE 100
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-3093
Country	:	US
Telephone Number	:	773-326-2244
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2015
Last Update Date	:	08/15/2023

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Directions to “ DR. RISHI PANDYA ” Practice Location

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