Provider Demographics
NPI:1275692584
Name:PANDYA, NAUSHIRA (MD,CMD, FACP)
Entity Type:Individual
Prefix:DR
First Name:NAUSHIRA
Middle Name:
Last Name:PANDYA
Suffix:
Gender:F
Credentials:MD,CMD, FACP
Other - Prefix:
Other - First Name:NAUSHIRA
Other - Middle Name:
Other - Last Name:PANDYA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3200 S UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-2018
Mailing Address - Country:US
Mailing Address - Phone:954-262-4343
Mailing Address - Fax:954-262-1172
Practice Address - Street 1:3200 S UNIVERSITY DR
Practice Address - Street 2:ASSEMBLY BLDG 2, SUITE 202
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-2018
Practice Address - Country:US
Practice Address - Phone:954-262-4343
Practice Address - Fax:954-262-1172
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME88331207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL267610900Medicaid
FLD37411Medicare UPIN
FL81125Medicare ID - Type UnspecifiedMEDICARE #