Individual
DR. PRASAD MUKUND PANSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5404
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5404
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
38160
AZ
2085R0202X
Diagnostic Radiology Physician
54741
MN
2085R0202X
Diagnostic Radiology Physician
ME95739
FL
Other
Enumeration date
06/01/2006
Last updated
09/10/2020
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