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1649598285

NPI Code Detail

MEDICARE: VIKAS PANDEY

MEDICARE: VIKAS PANDEY

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	2084E0001X	Epilepsy Physician	036155299	IL
2	2084N0400X	Neurology Physician	Q3757	TX
3	2084A2900X	Neurocritical Care Physician	036155299	IL
4	2084N0400X	Neurology Physician	2019042337	MO
5	2084N0400X	Neurology Physician	A159136	CA
6	2084N0400X	Neurology Physician	MD61585636	WA
7	2084V0102X	Vascular Neurology Physician	036155299	IL
8	2084N0400X	Neurology Physician	036155299	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ME120030	OTHER	FL	FLORIDA MEDICAL LICENSE
2	159136	OTHER	CA	CALIFORNIA MEDICAL LICENSE
3	225856	OTHER	AK	AK MEDICAL LICENSE
4	Q3757	OTHER	TX	TEXAS MEDICAL LICENSE
5	57634	OTHER	AZ	ARIZONA MEDICAL LICENSE
6	32183	OTHER	OK	OKLAHOMA MEDICAL LICENSE
7	9730457-1205	OTHER	UT	UTAH MEDICAL LICENSE
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	81834	OTHER	SC	SOUTH CAROLINA MEDICAL LICENSE
10	4301108260	OTHER	MI	MICHIGAN MEDICAL LICENSE
11	84266	OTHER	GA	GEORGIA MEDICAL LICENSE
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649598285
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIKAS PANDEY

Provider Business Mailing Address
First Line	:	PO BOX 678186
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75267-8186
Country	:	US
Telephone Number	:	303-306-7783
Fax Number	:	303-306-7753

Provider Business Practice Location Address
First Line	:	1717 MAIN ST STE 5850
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75201-7317
Country	:	US
Telephone Number	:	972-449-0540
Fax Number	:

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

Provider Enumeration Date	:	05/06/2010
Last Update Date	:	08/09/2025

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Directions to “ VIKAS PANDEY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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