Individual
DR. PAVAN PANCHOLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5707- N. 22ND STREET, MENTAL HEALTH CARE, INC., TAMPA, FL 33610-4350
(813) 272-2878
(813) 272-3766
Mailing address
5707- N. 22ND STREET, MENTAL HEALTH CARE, INC., TAMPA, FL 33610-4350
(813) 272-2878
(813) 272-3766
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD.200775
LA
2084P0800X
Psychiatry Physician
Primary
ME 100620
FL
Other
Enumeration date
08/01/2007
Last updated
08/05/2008
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