Basic Information
| Provider Information | |||||||||
| NPI: | 1689888307 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PANDE | ||||||||
| FirstName: | SAURABH | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | M.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10470 VISTA DEL SOL DR STE 105 | ||||||||
| Address2: | |||||||||
| City: | EL PASO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 799257928 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9152186055 | ||||||||
| FaxNumber: | 9155999830 | ||||||||
| Practice Location | |||||||||
| Address1: | 10470 VISTA DEL SOL DR STE 105 | ||||||||
| Address2: | |||||||||
| City: | EL PASO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 799257928 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9152186055 | ||||||||
| FaxNumber: | 9152186055 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/10/2007 | ||||||||
| LastUpdateDate: | 08/06/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RN0300X | N7957 | TX | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
No ID Information.