Provider Demographics
NPI:1093729261
Name:KHAIMCHAND PANDAY, M.D. PA
Entity Type:Organization
Organization Name:KHAIMCHAND PANDAY, M.D. PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHOPEDIC SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:KHAIM
Authorized Official - Middle Name:
Authorized Official - Last Name:PANDAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-686-4600
Mailing Address - Street 1:3330 N MCCOLL
Mailing Address - Street 2:STE 101
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501
Mailing Address - Country:US
Mailing Address - Phone:956-686-4600
Mailing Address - Fax:956-686-4622
Practice Address - Street 1:3330 N MCCOLL
Practice Address - Street 2:STE 101
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501
Practice Address - Country:US
Practice Address - Phone:956-686-4600
Practice Address - Fax:956-686-4622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK5174207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX155160801Medicaid
TX00450UMedicare ID - Type Unspecified
TX155160801Medicaid