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NPI Code Detail

MEDICARE: SARADA PANDEY

MEDICARE:   SARADA  PANDEY
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
1106S00000XBehavior TechnicianTX

General Provider Information

NPI Number : 1972451714
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARADA PANDEY
Provider Business Mailing Address
First Line : 12650 N BEACH ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-4256
Country : US
Telephone Number : 817-521-9336
Fax Number :
Provider Business Practice Location Address
First Line : 12650 N BEACH ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-4256
Country : US
Telephone Number : 817-521-9336
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2026
Last Update Date : 03/18/2026

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Directions to “ SARADA PANDEY ” Practice Location

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