MEDICARE: NIRAJ P PANDIT 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	207RI0011X	Interventional Cardiology Physician	ME 110780	FL

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740270198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NIRAJ P PANDIT MD

Provider Business Mailing Address
First Line	:	2770 CAPITAL MEDICAL BLVD
Second Line	:	SUITE 109
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-8417
Country	:	US
Telephone Number	:	850-877-0320
Fax Number	:	850-942-0246

Provider Business Practice Location Address
First Line	:	2770 CAPITAL MEDICAL BLVD
Second Line	:	SUITE 109
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-8417
Country	:	US
Telephone Number	:	850-877-0320
Fax Number	:	850-942-0246

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

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	01/26/2022

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Directions to “ NIRAJ P PANDIT MD” Practice Location

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