DR. SHASHWAT PANDHI (NPI# 1760749600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760749600 |
| Entity Type | Individual |
| Full Name | DR. SHASHWAT PANDHI |
| Credential | M.D., M.P.H. |
| Practice Address |
933 Bradbury Dr Se Albuquerque NM 87106-4374 |
| Mailing Address |
933 Bradbury Dr Se Ste 2222 Albuquerque NM 87106-4375 |
| Practice Telephone | 5052721476 |
| Mailing Telephone | 5052721476 |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2020-06-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD2020-0592 | NM | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD458127 | PA | Allopathic & Osteopathic Physicians |
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
MD2020-0592 | NM | Allopathic & Osteopathic Physicians |
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
MD458127 | PA | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD2020-0592 | NM | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD458127 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
933 BRADBURY DR SE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106-4374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083604854 | Jess Graham | Radiology | 933 Bradbury Dr Se, Albuquerque, NM 87106-4374 | 2005-10-24 |
| 1821603713 | Mushtaq Syed | Community Health Worker | 933 Bradbury Dr Se, Albuquerque, NM 87106-4374 | 2020-09-09 |
| 1609363811 | Storm A Dorrough | Student in an Organized Health Care Education/Training Program | 933 Bradbury Dr Se, Albuquerque, NM 87106-4374 | 2018-04-13 |
| 1851849996 | Mushobwe Miles | Case Manager/Care Coordinator | 933 Bradbury Dr Se, Suite 2222, Albuquerque, NM 87106-4374 | 2016-09-19 |
| 1831647916 | Darcy Marie Murphy | Case Manager/Care Coordinator | 933 Bradbury Dr Se, Albuquerque, NM 87106-4374 | 2016-09-16 |
| 1124470307 | Arthur Lopez | Psychologist | 933 Bradbury Dr Se, Pfs Suite 1120, Albuquerque, NM 87106-4374 | 2016-07-12 |
| 1043661010 | University of New Mexico Medical Group Inc | Clinic/Center | 933 Bradbury Dr Se, Suite 2222, Albuquerque, NM 87106-4374 | 2016-06-30 |
| 1720446545 | Tanya L Montoya | Case Manager/Care Coordinator | 933 Bradbury Dr Se, Albuquerque, NM 87106-4374 | 2016-02-08 |
| 1396119061 | Alethea Re | Nurse's Aide | 933 Bradbury Dr Se, Suite 2222, Albuquerque, NM 87106-4374 | 2015-11-18 |
| 1437521325 | Violeta Duran | Registered Nurse | 933 Bradbury Dr Se, Suite 2222, Albuquerque, NM 87106-4374 | 2015-10-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
| 1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
| 1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
| 1487203154 | Theresa Martinez | Technician | 5680 Avedon Dr. Se, Albuquerque, NM 87106 | 2019-09-05 |
| 1205300647 | Louis Mayer II | Specialist/Technologist | 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 | 2019-01-18 |
| 1235633355 | Terrena Grace Vigil Brady | Occupational Therapist | 1001 Yale Blvd, Albuquerque, NM 87106 | 2018-03-22 |
| 1205355195 | Yaritza Ruiz | Specialist/Technologist | 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 | 2017-09-12 |
| 1457873382 | Cynthia Bluhm | Registered Nurse | 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 | 2017-07-12 |
| 1295265882 | Hallie Chancellor | Behavior Technician | 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 | 2017-06-15 |
| 1780111757 | Jiana Hook | Physical Medicine & Rehabilitation | 1414 University Blvd. Se, Albuquerque, NM 87106 | 2017-05-22 |
| Find all providers in zip 87106 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891318747 | B2 Healthcare Group LLC | Psychiatry & Neurology | 8206 Louisiana Blvd Ne Ste A, Albuquerque, NM 87113-1738 | 2020-05-27 |
| 1649663535 | Gabriela Sanchez | Psychiatry & Neurology | Presbyterian Kaseman Hospital, 8300 Constitution Avenue Ne, Albuquerque, NM 87110 | 2015-03-17 |
| 1033401831 | Gabriel Carlos-william Monthan | Psychiatry & Neurology | 241 Laguayra Dr Ne, Albuquerque, NM 87108-1723 | 2011-05-11 |
| 1851582886 | Michael Herman Anikeev | Psychiatry & Neurology | 3901 Indian School Rd Ne Apt D102, Albuquerque, NM 87110-3852 | 2007-08-06 |
| 1669529210 | Susan Danto | Psychiatry & Neurology | 7801 Academy Ne, Bldg. 1, Suite 202, Albuquerque, NM 87109 | 2007-01-05 |
| 1033271390 | Rosemary Hunter | Psychiatry & Neurology | 5310 Sequoia Rd Nw, Albuquerque, NM 87120-1249 | 2006-12-14 |
| 1013005925 | George Edwin Davis | Psychiatry & Neurology | 1002 Idlewilde Ln Se, Albuquerque, NM 87108-3446 | 2006-10-10 |
| 1740381268 | Daniel Kerlinsky | Psychiatry & Neurology | 7007 Wyoming Ne Suite E-3, Albuquerque, NM 87109 | 2006-09-26 |
| 1568442135 | Jeffrey Raymond Mitchell | Psychiatry & Neurology | 8312 Kaseman Ct Ne, Presbyterian, Outpatient Child Bh Clinic, Albuquerque, NM 87110-7639 | 2006-01-19 |
| 1902287428 | Karla Miranda | Psychiatry & Neurology | Msc, 1 University of New Mexico, Albuquerque, NM 87131 | 2015-06-10 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87106 |
Please comment or provide details below to improve the information on DR. SHASHWAT PANDHI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.