Individual
DR. SUNIL J PANCHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4911 VAN DYKE ROAD, LUTZ, FL 33558-4813
(813) 264-7246
(813) 264-7249
Mailing address
4911 VAN DYKE ROAD, LUTZ, FL 33558-4813
(813) 264-7246
(813) 264-7249
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME93346
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
ME93346
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
289384
AVMED
—
01
—
78950
BCBS
—
Enumeration date
04/07/2006
Last updated
06/02/2008
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