Provider Demographics
NPI:1104082718
Name:PANDEY, TANU SHWETA (MD)
Entity type:Individual
Prefix:DR
First Name:TANU
Middle Name:SHWETA
Last Name:PANDEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:24664 APOLLO DR
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60585-5179
Mailing Address - Country:US
Mailing Address - Phone:312-864-7338
Mailing Address - Fax:312-864-9500
Practice Address - Street 1:1900 W POLK ST STE 904
Practice Address - Street 2:JOHN H STROGER HOSPITAL OF COOK COUNTY
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3723
Practice Address - Country:US
Practice Address - Phone:312-864-7338
Practice Address - Fax:312-864-9500
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-03
Last Update Date:2011-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.105389207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine