Pandey, Pushkar Raj
Pandey, Pushkar Raj is an individual health care provider with primary practice located at 1200 B Gale Wilson Blvd , Fairfield CA 94533-3552. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Pandey, Pushkar Raj can be contacted via phone (707) 429-3600.Contact Information
Primary practice address
1200 B Gale Wilson Blvd
Fairfield CA 94533-3552
Phone: (707) 429-3600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | C51295 | California |
Profile Details
| NPI number | 1477522480 |
|---|---|
| LBN Legal business name | Pandey, Pushkar Raj |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Nov 13th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477522480 | NPPES |
| California | MEDICAID | 00C512950 |
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