Provider Demographics
NPI:1639354434
Name:PANDYA, TANYA OBEROI (DO, MBA)
Entity Type:Individual
Prefix:
First Name:TANYA
Middle Name:OBEROI
Last Name:PANDYA
Suffix:
Gender:F
Credentials:DO, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7690 SAINT MARLO COUNTRY CLUB PKWY
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097-1620
Mailing Address - Country:US
Mailing Address - Phone:678-984-3151
Mailing Address - Fax:
Practice Address - Street 1:3925 JOHNS CREEK CT
Practice Address - Street 2:SUITE A
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-6618
Practice Address - Country:US
Practice Address - Phone:770-709-6922
Practice Address - Fax:770-709-6910
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-31
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA001584207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine