Individual
PANOS Z MARMARELIS
Active
Individual
PANOS Z MARMARELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G37550
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G375500
—
CA
01
—
130005307
RAILROAD MEDICARE
CA
01
—
WG37550D
PTAN PROVIDER IDENTIFIER
CA
Enumeration date
05/16/2006
Last updated
01/22/2019
Update your record
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