Provider Demographics
NPI:1639524457
Name:PANDYA, ANJANI (DO)
Entity type:Individual
Prefix:
First Name:ANJANI
Middle Name:
Last Name:PANDYA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17520 W GRAND PKWY S STE 110
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-4759
Mailing Address - Country:US
Mailing Address - Phone:281-239-3777
Mailing Address - Fax:281-239-3744
Practice Address - Street 1:17520 W GRAND PKWY S STE 110
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-4759
Practice Address - Country:US
Practice Address - Phone:281-239-3777
Practice Address - Fax:281-239-3744
Is Sole Proprietor?:No
Enumeration Date:2016-04-29
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10056510207R00000X
TXBP20068424207RE0101X
TXS9961207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine