Doctor Name: | MR. SHARDUL HARENDRA PANDYA |
NPI Number: | 1326219312 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RPT |
License Number: | 5501005660 |
Business Practice Address: | 21647 Ryan Rd Warren, MI - 480912795 |
Business Phone Number: | 5867570317 |
Business Fax Number: | 5867570397 |
Mailing Address: | 12835 Picadilly Dr, STERLING HEIGHTS |
State: | MI |
Postal Code: | 483121507 |
Phone Number: | 5862640388 |
Fax Number: | 5867570397 |
NPI Enumeration Date: | 03/18/2008 |
NPI Last Update Date: | 03/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 5501005660 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |