Provider Demographics
NPI:1477668655
Name:PANDIT, HUMA FAISAL (MD)
Entity Type:Individual
Prefix:DR
First Name:HUMA
Middle Name:FAISAL
Last Name:PANDIT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:237 CIMARRON RD W
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-1494
Mailing Address - Country:US
Mailing Address - Phone:630-889-8286
Mailing Address - Fax:
Practice Address - Street 1:245 W ROOSEVELT RD
Practice Address - Street 2:BUILDING 15 SUITE 101
Practice Address - City:WEST CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60185-3739
Practice Address - Country:US
Practice Address - Phone:630-231-0020
Practice Address - Fax:630-221-3580
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry