Provider Demographics
NPI:1861629115
Name:PANDIT, INEZ MARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:INEZ
Middle Name:MARIA
Last Name:PANDIT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MAUERSTR. 25
Mailing Address - Street 2:
Mailing Address - City:DUESSELDORF
Mailing Address - State:NORDRHEIN WESTFALEN
Mailing Address - Zip Code:40476
Mailing Address - Country:DE
Mailing Address - Phone:011492116-954-1297
Mailing Address - Fax:
Practice Address - Street 1:8514 HUNTER CREEK TRL
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-2561
Practice Address - Country:US
Practice Address - Phone:301-983-4364
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-14
Last Update Date:2009-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY247360-1207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine