Individual
MR. RAJMONY PANNU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2600 6TH ST SW, CANTON, OH 44710-1702
(614) 917-0696
(888) 732-7890
Mailing address
450 ALKYRE RUN STE 350, WESTERVILLE, OH 43082-6912
(614) 293-2594
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
142049
NC
207R00000X
Internal Medicine Physician
Primary
35.121853
OH
207RC0000X
Cardiovascular Disease Physician
104482
MN
207RC0000X
Cardiovascular Disease Physician
52323
MN
207RI0011X
Interventional Cardiology Physician
35.121853
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
05
—
PENDING
—
OH
Enumeration date
08/28/2007
Last updated
11/13/2023
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