Individual
UTSAB RAJ PANTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1324 WOODLAND DR STE A, ELIZABETHTOWN, KY 42701-2662
(270) 765-5921
(270) 982-3324
Mailing address
1324 WOODLAND DR STE A, ELIZABETHTOWN, KY 42701-2662
(270) 765-5921
(270) 982-3324
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
58320
KY
Other
Enumeration date
06/28/2017
Last updated
06/14/2024
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