Individual
DR. KUNAL PANKAJ JANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
527 N PALO ALTO AVE, PANAMA CITY, FL 32401-3639
(850) 747-4905
(850) 747-4907
Mailing address
PO BOX 1770, PANAMA CITY, FL 32402-1770
(850) 747-4905
(850) 747-4907
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
48173
TN
2085R0202X
Diagnostic Radiology Physician
Primary
ME118740
FL
2085R0204X
Vascular & Interventional Radiology Physician
ME118740
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003294848A
—
GA
05
—
010846800
—
FL
01
—
14U1J
BCBS FL
FL
05
—
Q003772
—
TN
Enumeration date
05/30/2008
Last updated
07/24/2024
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