Individual
ANANDA KRISHNAN PANIKKAR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
549 E. FAIR ST., BLOOMSBURG, PA 17815
(570) 784-6118
(570) 784-7046
Mailing address
38 MILLERTOWN RD, BLOOMSBURG, PA 17815-7103
(570) 784-6118
(570) 784-7046
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD038207L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008034090004
—
PA
Enumeration date
03/10/2006
Last updated
07/08/2007
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