MEDICARE: DR. RAVI V PANDEY 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	207R00000X	Internal Medicine Physician	ME71893	FL
2	208M00000X	Hospitalist Physician	ME71893	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	32806	OTHER	FL	BCBS

General Provider Information

NPI Number	:	1881675452
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAVI V PANDEY MD

Provider Business Mailing Address
First Line	:	2326 S CONGRESS AVE STE 2D
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-7614
Country	:	US
Telephone Number	:	561-433-5577
Fax Number	:	561-275-2696

Provider Business Practice Location Address
First Line	:	11000 PROSPERITY FARMS RD STE 206
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-3462
Country	:	US
Telephone Number	:	561-433-5577
Fax Number	:	561-275-2696

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

Provider Enumeration Date	:	11/09/2005
Last Update Date	:	09/24/2025

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Directions to “ DR. RAVI V PANDEY MD” Practice Location

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