MEDICARE: DEVESH MAHESH PANDYA M.D.

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	207RH0003X	Hematology & Oncology Physician	N7568	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	TXB129121	OTHER	TX	MEDICARE PTAN
4	TXB129122	OTHER	TX	MEDICARE PTAN

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	:	1770768210
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEVESH MAHESH PANDYA M.D.

Provider Business Mailing Address
First Line	:	PO BOX 749495
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-9495
Country	:	US
Telephone Number	:	855-963-2100
Fax Number	:	813-321-1296

Provider Business Practice Location Address
First Line	:	2130 W HOLCOMBE BLVD
Second Line	:	10TH FLOOR
City	:	HOUSTON
State	:	TX
Zip	:	77030-3304
Country	:	US
Telephone Number	:	713-600-0900
Fax Number	:	713-600-0070

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

Provider Enumeration Date	:	01/03/2008
Last Update Date	:	02/11/2026

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Directions to “ DEVESH MAHESH PANDYA M.D.” Practice Location

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