Organization
PANVELKAR AND PANVELKAR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GOPAL NAIQUE PANVELKAR M.D. (PHYSICIAN)
(706) 660-1177
Entity
Organization
Contact information
Practice address
626 23RD STREET, COLUMBUS, GA 31904-8829
(706) 660-1177
(706) 660-1098
Mailing address
626 23RD STREET, COLUMBUS, GA 31904-8829
(706) 660-1177
(706) 660-1098
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
GA-037307
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000581039A
—
GA
Enumeration date
12/18/2006
Last updated
04/02/2010
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