MEDICARE: DR. TRAILOKYA NATH PANDIT 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
1	207R00000X	Internal Medicine Physician	51040	CT
2	207R00000X	Internal Medicine Physician	MD440546	PA
3	207RH0003X	Hematology & Oncology Physician	DR.0056636	CO
4	207RH0003X	Hematology & Oncology Physician	4301102451	MI
5	208M00000X	Hospitalist Physician	51040	CT
6	207RH0003X	Hematology & Oncology Physician	88901	GA

Other Identifiers

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

General Provider Information

NPI Number	:	1538329560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TRAILOKYA NATH PANDIT M.D.

Provider Business Mailing Address
First Line	:	302 KENSINGTON AVE
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48503-6132
Country	:	US
Telephone Number	:	810-762-8400
Fax Number	:	810-762-8118

Provider Business Practice Location Address
First Line	:	1800 HOWELL MILL RD NW STE 130
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30318-0916
Country	:	US
Telephone Number	:	404-425-1777
Fax Number	:

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

Provider Enumeration Date	:	06/12/2008
Last Update Date	:	07/21/2022

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Directions to “ DR. TRAILOKYA NATH PANDIT M.D.” Practice Location

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