Provider Demographics
NPI:1447577952
Name:PANDYA, NIKHIL R (DO)
Entity Type:Individual
Prefix:
First Name:NIKHIL
Middle Name:R
Last Name:PANDYA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3129
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90510-3129
Mailing Address - Country:US
Mailing Address - Phone:310-792-3914
Mailing Address - Fax:855-898-4055
Practice Address - Street 1:15910 VENTURA BLVD
Practice Address - Street 2:SUITE 1502
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2802
Practice Address - Country:US
Practice Address - Phone:818-728-9877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-23
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY256441207L00000X
CA20A12384207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology