Pandya, Manish
Pandya, Manish is an individual health care provider with primary practice located at 301 S Lake St Ste B , Farmington NM 87401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Pandya, Manish can be contacted via phone (505) 278-8575.Contact Information
Primary practice address
301 S Lake St Ste B
Farmington NM 87401
Phone: (505) 278-8575
Fax: (505) 787-2399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 72-43923-1205 | Utah |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MD-2005-0152 | New Mexico |
Profile Details
| NPI number | 1326145392 |
|---|---|
| LBN Legal business name | Pandya, Manish |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 29th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326145392 | NPPES |
| New Mexico | MEDICAID | 33633339 | |
| New Mexico | MEDICAID | 04056558 | |
| New Mexico | MEDICAID | 109497 | |
| New Mexico | MEDICAID | 1326145392 |
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