Individual
RAJU K PANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 MAIN ST STE A3, SPRINGFIELD, MA 01107-1112
(413) 794-7031
(413) 794-7133
Mailing address
280 CHESTNUT STREET, 2ND FLOOR, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
270723
MA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
270723
MA
Other
Enumeration date
05/20/2009
Last updated
12/15/2017
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