# PANCHADCHARAM GNANESWARAN MD PA

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

## Provider details

- **NPI number:** 1851462782
- **Authorized official:** PANCHADCHARAM GNANESWARAN M.D. (OWNER)
- **Authorized official phone:** (410) 392-8000

## Contact information

- **Practice address:** 204 SOUTH ST, ELKTON, MD 21921-5633
- **Practice address phone:** (410) 392-8000
- **Practice address fax:** (410) 392-5990
- **Mailing address:** PO BOX 3012, WILMINGTON, DE 19804-0012
- **Mailing address phone:** (302) 224-5678
- **Mailing address fax:** (302) 224-2848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/13/2006
- **Last updated:** 08/22/2020