Provider Demographics
NPI:1184203713
Name:PANDYA, PRAKRUTI VRAJESH (MD)
Entity type:Individual
Prefix:
First Name:PRAKRUTI
Middle Name:VRAJESH
Last Name:PANDYA
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:SUMMA HEALTH, CARDIOLOGY FELLOWSHIP
Mailing Address - Street 2:525 E. MARKET ST.
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44304
Mailing Address - Country:US
Mailing Address - Phone:330-253-8195
Mailing Address - Fax:
Practice Address - Street 1:SUMMA HEALTH, CARDIOLOGY
Practice Address - Street 2:525 EAST MARKET ST./AKRON, OH 44304
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44304
Practice Address - Country:US
Practice Address - Phone:330-253-8195
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-02
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program