Provider Demographics
NPI:1184605206
Name:NANDI, PARTHA S (MD)
Entity type:Individual
Prefix:DR
First Name:PARTHA
Middle Name:S
Last Name:NANDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4600 INVESTMENT DR
Mailing Address - Street 2:STE 380
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48098-6365
Mailing Address - Country:US
Mailing Address - Phone:248-844-9710
Mailing Address - Fax:248-844-9711
Practice Address - Street 1:4600 INVESTMENT DR
Practice Address - Street 2:STE 380
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48098-6365
Practice Address - Country:US
Practice Address - Phone:248-844-9710
Practice Address - Fax:248-844-9711
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2010-02-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301062183207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H03093Medicare UPIN
M00540006Medicare ID - Type Unspecified