# DR. PHILIP PANIC

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1730685405
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | 0101289331 | VA | Yes |
| 2085R0202X | Diagnostic Radiology Physician | 35C.004461 | OH | — |
| 2085R0202X | Diagnostic Radiology Physician | DR.0072416 | CO | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | 2026036120 | MO | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | 35C.004461 | OH | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | 43-53621 | KS | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | Yes |

## Other

- **Enumeration date:** 04/02/2018
- **Last updated:** 08/17/2026