Individual
MRS. MRINALINI PANTHAGANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
311 W 24TH ST STE 305, ERIE, PA 16502
(814) 454-4484
(814) 452-1809
Mailing address
901 E 104TH ST, KANSAS CITY, MO 64131-4517
(816) 502-8752
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MT207263
PA
208M00000X
Hospitalist Physician
Primary
2017031163
MO
Other
Enumeration date
06/16/2014
Last updated
09/10/2021
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