Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223E0200X | Endodontist | 22DI02301600 | NJ |
Y | 1223E0200X | Endodontist | DN23230 | FL |
N | 1223E0200X | Endodontist | DS031484-L | PA |
N | 1223E0200X | Endodontist | DS031484L | PA |
NPI | 1023233087 |
---|---|
Provider Name | Mrs. Neha Mehul Pandya |
First Address | Daytona Beach, FL 32119-8329 |
Second Address | St Augustine, FL 32086 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2007 |
Last Update Date | 03/05/2018 |