PANDA MEDICAL PC NPI 1851699946

NPI Information

PANDA MEDICAL PC is a general practice in West Islip, NY. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PANDA MEDICAL PC NPI is 1851699946. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

340 MONTAUK HWY
SUITE 2
WEST ISLIP, NY
ZIP 11795-437
Phone: (631) 482-8824
Fax: (631) 482-8827

The provider's authorized official is Sree P Panda .
The authorized official title is President and has the following contact phone number (631) 482-8824.

The enumeration date for this NPI number is 3/14/2011 and was last updated on 3/14/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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