Provider Demographics
NPI:1073536330
Name:PANDEY, RAMESH (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMESH
Middle Name:
Last Name:PANDEY
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 1:575 COAL VALLEY RD STE 503
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15025-3729
Mailing Address - Country:US
Mailing Address - Phone:412-267-6263
Mailing Address - Fax:412-267-6264
Practice Address - Street 1:575 COAL VALLEY RD STE 503
Practice Address - Street 2:
Practice Address - City:JEFFERSON HILLS
Practice Address - State:PA
Practice Address - Zip Code:15025-3729
Practice Address - Country:US
Practice Address - Phone:412-267-6263
Practice Address - Fax:412-267-6264
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD051002L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015555930008Medicaid
PA0015555930008Medicaid
PA466406Medicare ID - Type Unspecified
PA0015555930008Medicaid