Individual
DR. MICHAEL ANDREW PANAGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1025 WALNUT ST STE 1100, PHILADELPHIA, PA 19107-5001
(215) 955-1416
(215) 923-1884
Mailing address
1109 SOUTH ST APT D, PHILADELPHIA, PA 19147-1960
(240) 994-4741
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MT228288
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2023
Last updated
05/21/2023
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