Individual
VISHNUDAS PANEMANGLORE PAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
238785
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02777195
—
NY
01
—
071202000026
FIDELIS
—
01
—
10126571
CDPHP
—
01
—
4158774
MVP
—
01
—
6655H1
EMPIRE BLUE CROSS
—
01
—
7578940
AETNA
—
01
—
P00617034
RAILROAD MEDICARE
—
Enumeration date
06/03/2006
Last updated
03/07/2024
Update your record
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