Individual
KALPESHKUMAR KANTILAL PANCHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
234 GOODMAN STREET, DEPARTMENT OF RADIOLOGY, CINCINNATI, OH 45219
(513) 584-1584
(513) 584-0431
Mailing address
PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 245-3107
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301068846
MI
2085R0202X
Diagnostic Radiology Physician
Primary
35-091352
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2946236
—
OH
05
—
4551319
—
MI
05
—
7100162530
—
KY
Enumeration date
08/12/2006
Last updated
02/20/2018
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