Basic Information
Provider Information
NPI: 1033435375
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PANDEY
FirstName: ARVIND
MiddleName: KANT
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 375 BOYLSTON ST
Address2:  
City: BROOKLINE
State: MA
PostalCode: 024456007
CountryCode: US
TelephoneNumber: 8573070896
FaxNumber: 8573070899
Practice Location
Address1: 2220 PIERCE AVE
Address2: VUMC 383 PRB
City: NASHVILLE
State: TN
PostalCode: 372326300
CountryCode: US
TelephoneNumber: 6159361713
FaxNumber: 4109550374
Other Information
ProviderEnumerationDate: 04/12/2010
LastUpdateDate: 06/18/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMD0000054190TNN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RC0000X274950MAY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207RC0000XMD0000054190TNN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


Home