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NPI Code Detail

MEDICARE: IPSIT PANDYA M.D.

MEDICARE:   IPSIT  PANDYA  M.D.
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
1207R00000XInternal Medicine Physician25MA09748800NJ
2208M00000XHospitalist PhysicianMD462528PA
3207R00000XInternal Medicine PhysicianMD462528PA

General Provider Information

NPI Number : 1356617872
Entity Type Code : Individual
Provider Name (Legal Business Name) : IPSIT PANDYA M.D.
Provider Business Mailing Address
First Line : 1 W ELM ST STE 100
Second Line :
City : CONSHOHOCKEN
State : PA
Zip : 19428-4108
Country : US
Telephone Number : 610-567-5387
Fax Number : 610-567-6955
Provider Business Practice Location Address
First Line : 212 MARTER AVE
Second Line :
City : MOORESTOWN
State : NJ
Zip : 08057-3114
Country : US
Telephone Number : 856-234-4749
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2012
Last Update Date : 01/16/2026

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Directions to “ IPSIT PANDYA M.D.” Practice Location

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