Individual
VISHNUDAS PANEMANGLORE PAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6 WELLNESS WAY STE G03, LATHAM, NY 12110-2156
(518) 785-5884
(518) 783-6890
Mailing address
6 WELLNESS WAY STE 201, LATHAM, NY 12110-2156
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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us