Provider Demographics
NPI:1942234497
Name:PANDAK, WILLIAM MICHAEL JR (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:MICHAEL
Last Name:PANDAK
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:3724 FAVERO RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23233-7037
Mailing Address - Country:US
Mailing Address - Phone:804-360-0672
Mailing Address - Fax:804-360-0672
Practice Address - Street 1:VETERANS AFFAIRS MEDICAL CENTER AND VA COMMONWEALTH U
Practice Address - Street 2:DIVISION OF GASTROENTEROLOGY,111-N, 1201 BROADROCK BLVD
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23249-0001
Practice Address - Country:US
Practice Address - Phone:804-675-5021
Practice Address - Fax:804-675-5816
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
VA0101036958207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology