Individual
DR. SASTRY PANCHAGNULA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3600 KOLBE RD, STE 109, LORAIN, OH 44053-1652
(440) 233-8181
(440) 233-8182
Mailing address
3600 KOLBE RD, STE 109, LORAIN, OH 44053-1652
(440) 233-8181
(440) 233-8182
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
35071561
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0430117
—
OH
Enumeration date
06/15/2005
Last updated
07/09/2007
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