Provider Demographics
NPI:1295896694
Name:NANDA, BALJIT (MD)
Entity type:Individual
Prefix:
First Name:BALJIT
Middle Name:
Last Name:NANDA
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 1:3303 TANGLEY RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-2245
Mailing Address - Country:US
Mailing Address - Phone:713-667-6260
Mailing Address - Fax:
Practice Address - Street 1:3303 TANGLEY RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-2245
Practice Address - Country:US
Practice Address - Phone:713-667-6260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01023375207ZP0102X
MI4301035037207ZP0102X
OK22688207ZP0102X
PAMD031295-L207ZP0102X
WI44139207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology