Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | MD464390 | PA |
NPI | 1003234865 |
---|---|
Provider Name | Jui Pandya |
First Address | Danville, PA 17822-4903 |
Second Address | Wilkes Barre, PA 18702-7900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2014 |
Last Update Date | 27/08/2020 |