Pandya, Paras Kanakray

Pandya, Paras Kanakray is an individual health care provider with primary practice located at 405 W Jackson St , Carbondale IL 62901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Pandya, Paras Kanakray can be contacted via phone (618) 549-0721.

Contact Information

Primary practice address
405 W Jackson St Carbondale IL 62901
Phone: (618) 549-0721
Fax: (618) 457-0469
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036146689 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0101840441 Virginia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 62928 Tennessee

Profile Details

NPI number 1295706802
LBN Legal business name Pandya, Paras Kanakray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Sep 20th, 2021 - about 5 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 1295706802 NPPES
Virginia MEDICAID 197929
Virginia Other 234124

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