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Individual
DR. VEENA PANTHANGI
Active
Individual
DR. VEENA PANTHANGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301081639
MI
207QG0300X
Geriatric Medicine (Family Medicine) Physician
4301081639
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5186442
—
MI
01
—
700E011730
BCBSM GROUP NUMBER
MI
01
—
700E031610
BCBS GROUP NUMBER
MI
01
—
VP081639
MICHIGAN PHYSICIAN LICENS
MI
Enumeration date
03/29/2007
Last updated
03/26/2012
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