Provider Demographics
NPI:1598053415
Name:PANDEY, ABHILASHA (MD)
Entity Type:Individual
Prefix:
First Name:ABHILASHA
Middle Name:
Last Name:PANDEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:755 W BIG BEAVER RD
Mailing Address - Street 2:STE 2020
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-4925
Mailing Address - Country:US
Mailing Address - Phone:248-825-3764
Mailing Address - Fax:833-391-2161
Practice Address - Street 1:1380 COOLIDGE HWY STE 220
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-7068
Practice Address - Country:US
Practice Address - Phone:248-825-3764
Practice Address - Fax:833-391-2161
Is Sole Proprietor?:No
Enumeration Date:2011-07-12
Last Update Date:2023-04-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301098903207RE0101X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine