Individual
DR. TANMAY PANIGRAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8000
(765) 838-4758
Mailing address
9743 WARWICK CT, MUNSTER, IN 46321-3569
(219) 775-1110
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
01060214A
IN
207L00000X
Anesthesiology Physician
Primary
01060214A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000688288
ANTHEM PROVIDER NUMBER
IN
05
—
200808290
—
IN
Enumeration date
06/16/2006
Last updated
12/08/2023
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