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Purushottam V Pande, MD
Hematology & Oncology Physician in Gulfport, Mississippi
NPI 1619953072

Purushottam V Pande is a Hematology & Oncology Physician based in Gulfport, MS and is specialized in Hematology & Oncology. Purushottam V Pande practices in Gulfport, MS and has the professional credentials of MD. The NPI Number for Purushottam V Pande is 1619953072 and holds a License No. 11683 (Mississippi).

The current practice location address for Purushottam V Pande is 1340 Broad Ave, Gulfport, MS and can be reached out via phone at 228-575-1234 and via fax at 228-575-1240.

Location: 1340 Broad Ave, Gulfport, MS, 39502-1810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619953072
Provider Name
Purushottam V Pande
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1340 Broad Ave, Gulfport, MS, 39502-1810
Phone Number
228-575-1234
Fax Number
228-575-1240
Provider Enumeration Date
12/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00013335 05 MS
institution
Provider Business Practice Location Address Details
Address
1340 Broad Ave
City
Gulfport
State
Mississippi
Zip
39501-2404
Phone Number
228-575-1234
Fax Number
228-575-1240
person
Provider Business Mailing Address Details
Address
1340 Broad Ave
City
Gulfport
State
Mississippi
Zip
39501-2404
Phone Number
228-575-1234
Fax Number
228-575-1240
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
11683 (Mississippi)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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