Individual
KALAMBUR VISVANATHAN PANCHAPAKESAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 MOUNT ZION PKWY, KAISER PERMANENTE SOUTHWOOD COMPREHENSIVE MEDICAL CENTE, JONESBORO, GA 30236-2500
(770) 603-3649
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 504-5678
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
042912
CA
207P00000X
Emergency Medicine Physician
Primary
042912
GA
Other
Enumeration date
06/16/2006
Last updated
01/07/2022
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