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NPI Code Detail

MEDICARE: MAYUR M PANDYA DO

MEDICARE: MAYUR M PANDYA DO
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
12084P0800XPsychiatry Physician34008563OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437355781
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAYUR M PANDYA DO
Provider Business Mailing Address
First Line : 6000 W CREEK RD
Second Line : SUITE 10
City : INDEPENDENCE
State : OH
Zip : 44131-2139
Country : US
Telephone Number : 800-223-2273
Fax Number :
Provider Business Practice Location Address
First Line : 2000 AUBURN DR STE 200
Second Line :
City : BEACHWOOD
State : OH
Zip : 44122-4328
Country : US
Telephone Number : 216-378-7635
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2007
Last Update Date : 04/29/2020

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