Basic Information
Provider Information
NPI: 1427012327
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PANDHI
FirstName: NANCY
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 933 BRADBURY DR SE STE 2222
Address2:  
City: ALBUQUERQUE
State: NM
PostalCode: 871064375
CountryCode: US
TelephoneNumber: 5052721476
FaxNumber:  
Practice Location
Address1: 3434 E. WASHINGTON AVE.
Address2:  
City: MADISON
State: WI
PostalCode: 53704
CountryCode: US
TelephoneNumber: 6084435550
FaxNumber: 6084435554
Other Information
ProviderEnumerationDate: 04/17/2006
LastUpdateDate: 08/30/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X47270-20WIN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000XMD2018-0727NMY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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