Provider Demographics
NPI:1912954389
Name:PANDYA, HASIT P (MD)
Entity Type:Individual
Prefix:
First Name:HASIT
Middle Name:P
Last Name:PANDYA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1340 BELMONT AVE
Mailing Address - Street 2:THE KIDNEY GROUP SUITE 2300
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44504-1191
Mailing Address - Country:US
Mailing Address - Phone:330-746-1488
Mailing Address - Fax:330-746-5611
Practice Address - Street 1:1340 BELMONT AVE
Practice Address - Street 2:SUITE 2300
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44504-1191
Practice Address - Country:US
Practice Address - Phone:330-746-1488
Practice Address - Fax:330-746-5611
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2020-08-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY238068207R00000X
PAMD434612207RN0300X
OH35087062207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2829185Medicaid
PA1022253610002Medicaid
PA127342K0SMedicare Oscar/Certification
OHPA4235921Medicare Oscar/Certification
OH2829185Medicaid