Provider Demographics
NPI:1326005240
Name:PANDIT, SANTOSH M (MD)
Entity Type:Individual
Prefix:DR
First Name:SANTOSH
Middle Name:M
Last Name:PANDIT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9104 BABCOCK BLVD
Mailing Address - Street 2:SUITE 3114
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-5818
Mailing Address - Country:US
Mailing Address - Phone:412-367-9104
Mailing Address - Fax:412-367-8125
Practice Address - Street 1:9104 BABCOCK BLVD
Practice Address - Street 2:SUITE 3114
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5818
Practice Address - Country:US
Practice Address - Phone:412-367-9104
Practice Address - Fax:412-367-8125
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PA039286L207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001073398001Medicaid
PAC33319Medicare UPIN
PA197613Medicare ID - Type Unspecified