| Organization Name: | SIMA S. PANDEY, MD, LLC |
| NPI Number: | 1003013624 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SIMA SURESH PANDEY (CEO) |
| Mailing Address: | 725 N Broad St Elizabeth |
| State: | NJ US |
| Postal Code: | 072082347 |
| Phone Number: | 9083518989 |
| Fax Number: | 9083518879 |
| NPI Enumeration Date: | 06/28/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 0600-2867-03 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |