Provider Demographics
NPI:1811482979
Name:PANT, AMRITA (MD)
Entity type:Individual
Prefix:
First Name:AMRITA
Middle Name:
Last Name:PANT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1397 S LINDEN RD STE A
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-4194
Mailing Address - Country:US
Mailing Address - Phone:810-720-9300
Mailing Address - Fax:810-720-9304
Practice Address - Street 1:1397 S LINDEN RD STE A
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-4194
Practice Address - Country:US
Practice Address - Phone:810-720-9300
Practice Address - Fax:810-720-9304
Is Sole Proprietor?:No
Enumeration Date:2018-06-29
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CODR.0072547207Q00000X
MI4301505176207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine