Provider Demographics
NPI:1871586966
Name:PANDEY, ARTI (MD)
Entity type:Individual
Prefix:DR
First Name:ARTI
Middle Name:
Last Name:PANDEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4810 HARKEY LANE
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406
Mailing Address - Country:US
Mailing Address - Phone:205-344-6938
Mailing Address - Fax:205-344-6464
Practice Address - Street 1:4810 HARKEY LANE
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35406
Practice Address - Country:US
Practice Address - Phone:205-344-6938
Practice Address - Fax:205-344-6464
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-24
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL21385207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR2109781OtherFIRST HEALTH
AL72566448OtherAETNA
ALF83277OtherHEALTHSPRINGS
AL51515099OtherBLUE CROSS PROVIDER NUMBE
AL051553535Medicaid
AL051553535Medicare PIN
AL51515099OtherBLUE CROSS PROVIDER NUMBE