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Organization

KSHAMAYA PANCHAMUKHI MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KSHAMAYA B PANCHAMUKHI MD (OFFICER)
(305) 202-3349
Entity
Organization

Contact information

Practice address
6039 COLLINS AVE, 1711, MIAMI BEACH, FL 33140-2203
(305) 202-3349
Mailing address
6039 COLLINS AVE, 1711, MIAMI BEACH, FL 33140-2203
(305) 202-3349

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME105527
FL

Other

Enumeration date
04/30/2013
Last updated
04/30/2013
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