1467571463 NPI number — DR. VEENA PANTHANGI M.D.

Table of content: DR. VEENA PANTHANGI M.D. (NPI 1467571463)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467571463 NPI number — DR. VEENA PANTHANGI M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PANTHANGI
Provider First Name:
VEENA
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467571463
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/26/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
21099 MASONIC BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAINT CLAIR SHORES
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48082-1045
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
586-296-6213
Provider Business Mailing Address Fax Number:
586-296-8180

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
21099 MASONIC BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAINT CLAIR SHORES
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48082-1045
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
586-296-6213
Provider Business Practice Location Address Fax Number:
586-286-8180
Provider Enumeration Date:
03/29/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  4301081639 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207QG0300X , with the licence number: 4301081639 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 5186442 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: VP081639 . This is a "MICHIGAN PHYSICIAN LICENS" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 700E011730 . This is a "BCBSM GROUP NUMBER" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 700E031610 . This is a "BCBS GROUP NUMBER" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".




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