Individual
RAHUL S PANESAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
STONY BROOK UNIVERSITY MEDICAL CENTER DEPT, HOSP, L-11, PICU, STONY BROOK, NY 11794-0001
(631) 444-8211
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-0650
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
227899
MA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
251662
NY
Other
Enumeration date
07/10/2006
Last updated
05/05/2015
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