Provider Demographics
NPI:1780888370
Name:PANDHER, JASWANT SINGH (MD)
Entity type:Individual
Prefix:DR
First Name:JASWANT
Middle Name:SINGH
Last Name:PANDHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JASWANT
Other - Middle Name:
Other - Last Name:SINGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:11327 CYPRESS CREEK LAKES DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-2336
Mailing Address - Country:US
Mailing Address - Phone:832-613-5755
Mailing Address - Fax:888-668-4625
Practice Address - Street 1:11004 GRANT RD
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-2900
Practice Address - Country:US
Practice Address - Phone:832-533-8404
Practice Address - Fax:888-668-4625
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN4105207RN0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty