Provider Demographics
NPI:1215226725
Name:PANDE MENTREDDI, AASHOO (MD)
Entity type:Individual
Prefix:MRS
First Name:AASHOO
Middle Name:
Last Name:PANDE MENTREDDI
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 YORK ST
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:ME
Mailing Address - Zip Code:03909-1047
Mailing Address - Country:US
Mailing Address - Phone:207-351-3987
Mailing Address - Fax:207-351-3478
Practice Address - Street 1:233 YORK ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:ME
Practice Address - Zip Code:03909-1047
Practice Address - Country:US
Practice Address - Phone:207-351-3987
Practice Address - Fax:207-351-3478
Is Sole Proprietor?:No
Enumeration Date:2011-04-05
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ52272084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology