| Doctor Name: | SIDDHARTH PANDYA |
| NPI Number: | 1013063908 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 2003028232 |
| Business Practice Address: | 1100 N Kentucky Ave West Plains, MO - 657752029 |
| Business Phone Number: | 4172569111 |
| Business Fax Number: | 3146314672 |
| Mailing Address: | 400 Nw 107th Ave, Plantation PLANTATION |
| State: | FL |
| Postal Code: | 333241524 |
| Phone Number: | 9548732690 |
| Fax Number: | |
| NPI Enumeration Date: | 01/25/2007 |
| NPI Last Update Date: | 06/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 2003028232 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |