Provider Demographics
NPI:1295777654
Name:PANDYA, BHUSHAN H (MD)
Entity type:Individual
Prefix:DR
First Name:BHUSHAN
Middle Name:H
Last Name:PANDYA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:501 RISON ST
Mailing Address - Street 2:SUITE 130
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541-2458
Mailing Address - Country:US
Mailing Address - Phone:434-791-1152
Mailing Address - Fax:434-797-4745
Practice Address - Street 1:501 RISON ST
Practice Address - Street 2:SUITE 130
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-2458
Practice Address - Country:US
Practice Address - Phone:434-791-1152
Practice Address - Fax:434-797-4745
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2007-08-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101037615207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B09847Medicare UPIN