# NS PANWAR, MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184984700
- **Authorized official:** TERRI FAY SMALLWOOD (BILLING CLERK)
- **Authorized official phone:** (606) 237-9900

## Contact information

- **Practice address:** 414 CENTRAL AVE, SUITE 2, SOUTH WILLIAMSON, KY 41503-4121
- **Practice address phone:** (606) 237-9900
- **Practice address fax:** (606) 237-9901
- **Mailing address:** 414 CENTRAL AVE, SUITE 2, SOUTH WILLIAMSON, KY 41503-4121
- **Mailing address phone:** (606) 237-9900
- **Mailing address fax:** (606) 237-9901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 33230 | KY | Yes |

## Other

- **Enumeration date:** 05/17/2012
- **Last updated:** 05/17/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0092976000 | — | WV |
| 05 | — | 64940067 | — | KY |