Individual
SIDHARTHA PANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1222 JEFFERSON PARK AVE, CHARLOTTESVILLE, VA 22903-3410
(434) 982-3040
(434) 245-3535
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101230906
VA
207R00000X
Internal Medicine Physician
202636
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000029129
BMC HEALTHNET
MA
01
—
0028365
NEIGHBORHOD HEALTH PLAN
MA
01
—
004450
SENIORWHOLEHEALTH
MA
05
—
0169960
—
MA
01
—
042675800
UNITED HEALTH
MA
01
—
29421-0
BCBSRI
MA
01
—
2959888
CIGNA
MA
01
—
2959888-002
CIGNAPAL
MA
01
—
3756469
AETNA
MA
01
—
409720
BCBSRI BLUE CHIP
MA
01
—
456086
TUFTS HEALTH PLAN
MA
01
—
97384602
NETWORKHEALTH
MA
01
—
AA31394
HARVARD PILGRIM
MA
01
—
J24451
BCBSMA
MA
Enumeration date
05/28/2006
Last updated
12/02/2023
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