Pande, Purushottam V

Pande, Purushottam V is an individual health care provider with primary practice located at 1340 Broad Ave Suite 270, Gulfport MS 39501-2404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Pande, Purushottam V can be contacted via phone (228) 575-1234.

Contact Information

Primary practice address
1340 Broad Ave Suite 270 Gulfport MS 39501-2404
Phone: (228) 575-1234
Fax: (228) 575-1240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 11683 Mississippi

Profile Details

NPI number 1619953072
LBN Legal business name Pande, Purushottam V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Jul 10th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619953072 NPPES
Mississippi MEDICAID 00013335

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