Provider Demographics
NPI:1245244227
Name:PANDIT, SUDHIR KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:SUDHIR
Middle Name:KUMAR
Last Name:PANDIT
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 1:3126 HWY 7 NORTH
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71909-9545
Mailing Address - Country:US
Mailing Address - Phone:501-609-9957
Mailing Address - Fax:501-609-9967
Practice Address - Street 1:3126 HWY 7 NORTH
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71909-9545
Practice Address - Country:US
Practice Address - Phone:501-609-9957
Practice Address - Fax:501-609-9967
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR3449207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR102489001Medicaid
AR102489001Medicaid
AR53939Medicare ID - Type Unspecified