MEDICARE: DEEPIKA PANDAY MD

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	65082	AZ

General Provider Information

NPI Number	:	1659829182
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEEPIKA PANDAY MD

Provider Business Mailing Address
First Line	:	4100 S LINDSAY RD STE 130
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85297-1508
Country	:	US
Telephone Number	:	480-728-9531
Fax Number	:

Provider Business Practice Location Address
First Line	:	2474 E HUNT HWY STE 110
Second Line	:
City	:	SAN TAN VALLEY
State	:	AZ
Zip	:	85143-5210
Country	:	US
Telephone Number	:	480-782-9531
Fax Number	:

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

Provider Enumeration Date	:	09/13/2016
Last Update Date	:	02/29/2024

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Directions to “ DEEPIKA PANDAY MD” Practice Location

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