Individual
KUMAR PANNAGASAYANAM DINESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
760 GOLF VIEW DR UNIT 200, MEDFORD, OR 97504-9685
(541) 618-4400
Mailing address
760 GOLF VIEW DRIVE, SUITE # 200, MEDFORD, OR 97504
(541) 618-4400
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD161131
OR
Other
Enumeration date
08/30/2007
Last updated
12/13/2018
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