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
Fax: (505) 787-2399
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD2005-0152 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 Oct 8th, 2020 - about 6 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 1326145392 NPPES
Utah MEDICAID 1326145392
Utah MEDICAID 109497
Utah MEDICAID 33633339
Utah MEDICAID 04056558

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