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NPI Code Detail

MEDICARE: VINIT PANDE M.D.

MEDICARE:   VINIT  PANDE  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
12081P2900XPain Medicine (Physical Medicine & Rehabilitation) PhysicianMD417162PA
2208100000XPhysical Medicine & Rehabilitation PhysicianMD417162PA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
5250012570OTHERPARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
120026525OTHERPAAMERIHEALTH
250075039OTHERPACAPITAL BLUE CROSS
364864-1067OTHERPAGEISINGER
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6050193OTHERPABLUE CARE
72651325OTHERPAAETNA
8813705OTHERPABLUE CARE HMO (FPH)

General Provider Information

NPI Number : 1508859091
Entity Type Code : Individual
Provider Name (Legal Business Name) : VINIT PANDE M.D.
Provider Business Mailing Address
First Line : 150 MUNDY ST
Second Line :
City : WILKES BARRE
State : PA
Zip : 18702-6830
Country : US
Telephone Number : 570-824-0930
Fax Number : 570-824-7755
Provider Business Practice Location Address
First Line : 150 MUNDY ST
Second Line :
City : WILKES BARRE
State : PA
Zip : 18702-6830
Country : US
Telephone Number : 570-824-0930
Fax Number : 570-824-7755
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2005
Last Update Date : 02/23/2015

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Directions to “ VINIT PANDE M.D.” Practice Location

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