Provider Demographics
NPI:1306067228
Name:PANDYA, KALINDI P (DMD)
Entity type:Individual
Prefix:
First Name:KALINDI
Middle Name:P
Last Name:PANDYA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 NEWFIELD AVE
Mailing Address - Street 2:UNIT D
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905
Mailing Address - Country:US
Mailing Address - Phone:203-921-1995
Mailing Address - Fax:203-921-1595
Practice Address - Street 1:555 NEWFIELD AVE
Practice Address - Street 2:UNIT D
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905
Practice Address - Country:US
Practice Address - Phone:203-921-1995
Practice Address - Fax:203-921-1595
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT008218CT122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist