Provider Demographics
NPI:1023079134
Name:PANDYA, VARSHA J (MD)
Entity type:Individual
Prefix:DR
First Name:VARSHA
Middle Name:J
Last Name:PANDYA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:19 CREEKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:WILKES BARRE
Mailing Address - State:PA
Mailing Address - Zip Code:18702-7260
Mailing Address - Country:US
Mailing Address - Phone:570-342-8305
Mailing Address - Fax:570-344-1178
Practice Address - Street 1:1509 MAPLE ST
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18505-2707
Practice Address - Country:US
Practice Address - Phone:570-342-8305
Practice Address - Fax:570-344-1178
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2016-03-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD026802-E2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMD-026802-EOtherPHYSICIAN LICENSE