| NPI | 1083969109 |
|---|---|
| Former Name | SHIVANI AMUL PANDYA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 28600) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: PA DS039332) |
| 1223G0001X Dentist General Practice (Licence: MA DN1856077) | |
| Enumeration Date | 2012-07-14 |
| Last Update Date | 2024-03-06 |