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Individual
DR. WANDA KOTVAN PANOSH
Active
Individual
DR. WANDA KOTVAN PANOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25824
NC
208000000X
Pediatrics Physician
25824
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17653
PARTNERS MEDICARE
NC
01
—
5686054
AETNA
NC
01
—
65209
BCBS NC
NC
01
—
74378
MEDCOST
NC
05
—
8965209
—
NC
Enumeration date
04/26/2006
Last updated
10/01/2021
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