Provider Demographics
NPI:1831469881
Name:PANDIT, RAVI RASHMIKANT (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:RAVI
Middle Name:RASHMIKANT
Last Name:PANDIT
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
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Mailing Address - Street 1:3003 32ND AVE S STE 240
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-6118
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5855 SUNNYBROOK DR
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51106-4203
Practice Address - Country:US
Practice Address - Phone:712-226-3937
Practice Address - Fax:712-224-3973
Is Sole Proprietor?:No
Enumeration Date:2012-01-09
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAMD-53700207WX0107X
PAMD464443207W00000X
ND17681207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology