Provider Demographics
NPI:1174513147
Name:PALANDJIAN, PIERRE K (DO)
Entity type:Individual
Prefix:
First Name:PIERRE
Middle Name:K
Last Name:PALANDJIAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1254 LITITZ PIKE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-4340
Mailing Address - Country:US
Mailing Address - Phone:717-397-4724
Mailing Address - Fax:717-397-6687
Practice Address - Street 1:1254 LITITZ PIKE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4340
Practice Address - Country:US
Practice Address - Phone:717-397-4724
Practice Address - Fax:717-397-6687
Is Sole Proprietor?:No
Enumeration Date:2005-10-21
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS011949207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP00395392OtherMEDICARE RAILROAD
PAI41399Medicare UPIN
PAP00395392OtherMEDICARE RAILROAD
PAPA1928493Medicare PIN