Provider Demographics
NPI:1518316470
Name:PANDEY, NISHI KANT (DO)
Entity Type:Individual
Prefix:DR
First Name:NISHI
Middle Name:KANT
Last Name:PANDEY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:502 CENTENNIAL BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-9544
Mailing Address - Country:US
Mailing Address - Phone:856-751-2300
Mailing Address - Fax:856-751-2333
Practice Address - Street 1:502 CENTENNIAL BLVD STE 3
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-9544
Practice Address - Country:US
Practice Address - Phone:856-751-2300
Practice Address - Fax:856-751-2333
Is Sole Proprietor?:No
Enumeration Date:2016-06-10
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB10480900207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology