Provider Demographics
NPI:1982660130
Name:PANDAY, VASUDHA ARUNA (MD)
Entity Type:Individual
Prefix:DR
First Name:VASUDHA
Middle Name:ARUNA
Last Name:PANDAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:VASUDHA
Other - Middle Name:ARVIND
Other - Last Name:BHIDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:325 E SONTERRA BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4055
Mailing Address - Country:US
Mailing Address - Phone:210-490-6759
Mailing Address - Fax:
Practice Address - Street 1:325 E SONTERRA BLVD STE 100
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4055
Practice Address - Country:US
Practice Address - Phone:210-490-6759
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ1255207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDKR86L783Medicare PIN
MDI36785Medicare UPIN
TX369780YSNRMedicare PIN