Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Pankaj K Mamtora, MD

Individual provider Internal Medicine Physician · NPI 1467534842

Pankaj K Mamtora, MD is an Internal Medicine Physician in Ridgewood, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5629 Metropolitan Ave
Ridgewood, NY 11385-1975
Phone: (718) 418-0300
Fax: (718) 418-0301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 26808 Union Tpke, Glen Oaks, NY 11004-1351 — (718) 418-0300

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 183635 (NY)

Record details

NPI number1467534842
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 19, 2006
Last updated in NPPESJune 2, 2023
Certification dateJune 2, 2023

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