Provider Demographics
NPI:1225883622
Name:PANDYA, CHIRAYU (MBBS)
Entity type:Individual
Prefix:DR
First Name:CHIRAYU
Middle Name:
Last Name:PANDYA
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 W. GRACE STREET
Mailing Address - Street 2:HCA FLORIDA CITRUS HOSPITAL GRADUATE MEDICAL EDUCATION
Mailing Address - City:INVERNESS
Mailing Address - State:FL
Mailing Address - Zip Code:34452
Mailing Address - Country:US
Mailing Address - Phone:352-344-6987
Mailing Address - Fax:352-344-6502
Practice Address - Street 1:402 W. GRACE STREET
Practice Address - Street 2:HCA FLORIDA CITRUS HOSPITAL GRADUATE MEDICAL EDUCATION
Practice Address - City:INVERNESS
Practice Address - State:FL
Practice Address - Zip Code:34452
Practice Address - Country:US
Practice Address - Phone:352-344-6987
Practice Address - Fax:352-344-6502
Is Sole Proprietor?:No
Enumeration Date:2024-04-19
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLTRN41245390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program