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Individual

VIKRAM SINGH PANWAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
43 SERVIDEA DR, RIDGWAY, PA 15853-6333
(814) 776-2145
Mailing address
800 E MAIN ST, BRADFORD, PA 16701-3278
(913) 588-6414

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD478647
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1044340480001
PA
Enumeration date
03/30/2015
Last updated
09/10/2025
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