Provider Demographics
NPI:1265442420
Name:PANDYA, RAJENDRA G (MD)
Entity Type:Individual
Prefix:
First Name:RAJENDRA
Middle Name:G
Last Name:PANDYA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:12025 LOUETTA RD
Mailing Address - Street 2:STE B
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-1149
Mailing Address - Country:US
Mailing Address - Phone:281-251-7888
Mailing Address - Fax:281-251-4222
Practice Address - Street 1:12025 LOUETTA RD
Practice Address - Street 2:STE B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-1149
Practice Address - Country:US
Practice Address - Phone:281-251-7888
Practice Address - Fax:281-251-4222
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX52723207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX135653706Medicaid
TX135653706Medicaid