Individual
DR. DURGA PRASAD PANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 S COLUMBIA RD - ALTRU HOSPITAL, GRAND FORKS, ND 58201
(701) 780-6000
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
11183
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1456857
—
ND
Enumeration date
06/29/2007
Last updated
05/08/2019
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