Provider Demographics
NPI:1215164298
Name:PANDYA, VISHWAM RAJENDRAKUMAR (MD)
Entity type:Individual
Prefix:MR
First Name:VISHWAM
Middle Name:RAJENDRAKUMAR
Last Name:PANDYA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:7500 GREENWAY CENTER DR
Mailing Address - Street 2:STE. 930
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3502
Mailing Address - Country:US
Mailing Address - Phone:301-345-2412
Mailing Address - Fax:301-345-3978
Practice Address - Street 1:7500 GREENWAY CENTER DR
Practice Address - Street 2:STE. 930
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3502
Practice Address - Country:US
Practice Address - Phone:301-345-2412
Practice Address - Fax:301-345-3978
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-17
Last Update Date:2015-07-01
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Provider Licenses
StateLicense IDTaxonomies
MO2012019223208M00000X, 207RN0300X
MDD0079715207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist