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Individual

JAYANT L PATANKAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
400 W 7TH ST, PAIN AND SUPPORTIVE SERVICES, FREDERICK, MD 21701-4506
(240) 566-3031
(240) 566-7400
Mailing address
PO BOX 37086, BALTIMORE, MD 21297-3086
(240) 439-8913
(240) 439-8910

Taxonomy

Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
D0062376
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0010904410009
PA
Enumeration date
08/09/2005
Last updated
07/30/2019
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