Provider Demographics
NPI:1588927578
Name:PANDYA, ALOKNATH ANIRUDHA (MD)
Entity type:Individual
Prefix:MR
First Name:ALOKNATH
Middle Name:ANIRUDHA
Last Name:PANDYA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1931 KIMBALL ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19146-2620
Mailing Address - Country:US
Mailing Address - Phone:215-445-3925
Mailing Address - Fax:215-445-3926
Practice Address - Street 1:1931 KIMBALL ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19146-2620
Practice Address - Country:US
Practice Address - Phone:215-445-3925
Practice Address - Fax:215-445-3926
Is Sole Proprietor?:No
Enumeration Date:2012-06-24
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD457569207RP1001X, 208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103119158Medicaid
PAID5225OtherMEDICARE