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NPI Code Detail

MEDICARE: DEVNA UMAKANT PANDIT DDS

MEDICARE:   DEVNA UMAKANT PANDIT  DDS
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
1122300000XDentist57585CA

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 : 1629074729
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEVNA UMAKANT PANDIT DDS
Provider Business Mailing Address
First Line : 3191 HUTTON PL
Second Line :
City : TRACY
State : CA
Zip : 95377-6689
Country : US
Telephone Number : 860-992-7031
Fax Number :
Provider Business Practice Location Address
First Line : 2990 W GRANT LINE RD
Second Line :
City : TRACY
State : CA
Zip : 95304-7901
Country : US
Telephone Number : 209-830-7797
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2005
Last Update Date : 06/26/2012

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Directions to “ DEVNA UMAKANT PANDIT DDS” Practice Location

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