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NPI Code Detail

MEDICARE: NEERALI PANDYA PA-C

MEDICARE: NEERALI PANDYA PA-C
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
1363A00000XPhysician AssistantPA9118197FL

General Provider Information

NPI Number : 1689161903
Entity Type Code : Individual
Provider Name (Legal Business Name) : NEERALI PANDYA PA-C
Provider Business Mailing Address
First Line : PO BOX 102222
Second Line :
City : ATLANTA
State : GA
Zip : 30368-2222
Country : US
Telephone Number : 239-274-8200
Fax Number :
Provider Business Practice Location Address
First Line : 1970 GOLF ST
Second Line :
City : SARASOTA
State : FL
Zip : 34236-6908
Country : US
Telephone Number : 941-957-1000
Fax Number : 941-951-2117
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2018
Last Update Date : 01/05/2026

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Directions to “ NEERALI PANDYA PA-C” Practice Location

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