Provider Demographics
NPI:1497724447
Name:PANDYA, ARATI D (MD)
Entity Type:Individual
Prefix:
First Name:ARATI
Middle Name:D
Last Name:PANDYA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1309 MILSTEAD RD
Mailing Address - Street 2:STE E
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30012-3874
Mailing Address - Country:US
Mailing Address - Phone:770-929-1333
Mailing Address - Fax:770-929-0659
Practice Address - Street 1:1309 MILSTEAD RD
Practice Address - Street 2:STE E
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30012-3874
Practice Address - Country:US
Practice Address - Phone:770-929-1333
Practice Address - Fax:770-929-0659
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2013-09-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA047501207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000832785AMedicaid
H00749Medicare UPIN
GA18BDFPCMedicare ID - Type Unspecified