Individual
KELVIN S PANESAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10250 N 92ND ST, 308, SCOTTSDALE, AZ 85258-4510
(480) 892-2260
(480) 892-2274
Mailing address
PO BOX 9362, BELFAST, ME 04915-9362
(480) 892-2260
(480) 892-2274
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
26415
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
429325
—
AZ
Enumeration date
11/09/2005
Last updated
03/23/2011
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