Panda, Nirmala

Panda, Nirmala is an individual health care provider with primary practice located at 813 East Gate Drive , Mount Laurel NJ 08054. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Panda, Nirmala can be contacted via phone (856) 914-1770.

Contact Information

Primary practice address
813 East Gate Drive Mount Laurel NJ 08054
Phone: (856) 914-1770
Fax: (856) 914-1773
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA03543400 New Jersey

Profile Details

NPI number 1780692616
LBN Legal business name Panda, Nirmala
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Oct 30th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780692616 NPPES
New Jersey MEDICAID 0652806

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