Individual
MR. JOSEPH JOHANNAN PANNAPARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 S 11TH ST # 8490, PHILADELPHIA, PA 19107-4824
(215) 955-6161
(215) 923-5507
Mailing address
901 N PENN ST UNIT P1805, PHILADELPHIA, PA 19123-3142
(215) 300-7393
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
26NR14443900
NJ
367500000X
Certified Registered Nurse Anesthetist
L1-0039648
DE
367500000X
Certified Registered Nurse Anesthetist
Primary
RN563132
PA
Other
Enumeration date
05/12/2014
Last updated
01/12/2024
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