Provider Demographics
NPI:1033435375
Name:PANDEY, ARVIND KANT
Entity Type:Individual
Prefix:
First Name:ARVIND
Middle Name:KANT
Last Name:PANDEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 BOYLSTON ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-6007
Mailing Address - Country:US
Mailing Address - Phone:857-307-0896
Mailing Address - Fax:857-307-0899
Practice Address - Street 1:2220 PIERCE AVE
Practice Address - Street 2:VUMC 383 PRB
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-6300
Practice Address - Country:US
Practice Address - Phone:615-936-1713
Practice Address - Fax:410-955-0374
Is Sole Proprietor?:No
Enumeration Date:2010-04-12
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000054190207R00000X, 207RC0000X
MA274950207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine