Provider Demographics
NPI:1851660534
Name:PANDYA, ANAND KAMLESH (PHARMD, BSC)
Entity type:Individual
Prefix:DR
First Name:ANAND
Middle Name:KAMLESH
Last Name:PANDYA
Suffix:
Gender:M
Credentials:PHARMD, BSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1575 MALLARD DR APT 309
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-3076
Mailing Address - Country:US
Mailing Address - Phone:216-663-5103
Mailing Address - Fax:
Practice Address - Street 1:3420 CARNEGIE AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44115-2639
Practice Address - Country:US
Practice Address - Phone:440-260-8892
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-23
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH032277741835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy