Provider Demographics
NPI:1689888307
Name:PANDE, SAURABH A (MD)
Entity Type:Individual
Prefix:
First Name:SAURABH
Middle Name:A
Last Name:PANDE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10470 VISTA DEL SOL DR STE 105
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-7928
Mailing Address - Country:US
Mailing Address - Phone:915-218-6055
Mailing Address - Fax:915-599-9830
Practice Address - Street 1:10470 VISTA DEL SOL DR STE 105
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-7928
Practice Address - Country:US
Practice Address - Phone:915-218-6055
Practice Address - Fax:915-218-6055
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2018-08-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXN7957207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB128758OtherMEDICARE PTAN