Provider Demographics
NPI:1386674679
Name:PANDIT, LOTIKA (MD)
Entity Type:Individual
Prefix:DR
First Name:LOTIKA
Middle Name:
Last Name:PANDIT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:111 N PINE ST
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:GA
Mailing Address - Zip Code:30752-2503
Mailing Address - Country:US
Mailing Address - Phone:706-657-3360
Mailing Address - Fax:706-657-4400
Practice Address - Street 1:6073 E BRAINERD RD
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-3909
Practice Address - Country:US
Practice Address - Phone:423-648-8008
Practice Address - Fax:706-657-4400
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN28815207RG0300X
TN170313207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNG79966Medicare UPIN