Provider Demographics
NPI:1972838308
Name:PANDYA, AKASH NAYAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:AKASH
Middle Name:NAYAN
Last Name:PANDYA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3419 INVERWOOD LN
Mailing Address - Street 2:
Mailing Address - City:MITCHELLVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-2845
Mailing Address - Country:US
Mailing Address - Phone:301-452-8355
Mailing Address - Fax:
Practice Address - Street 1:8300 N FM 620
Practice Address - Street 2:BLDG G STE 100
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78726-4007
Practice Address - Country:US
Practice Address - Phone:301-452-8355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-02
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD132221223X0400X
TX288081223X0400X
VA04014130761223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics