MEDICARE: HARISH K PANICKER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	0101237010	VA
2	2085R0202X	Diagnostic Radiology Physician	ME149643	FL
3	2085N0700X	Neuroradiology Physician	04-33832	KS
4	2085N0700X	Neuroradiology Physician	4301072396	MI
5	2085R0202X	Diagnostic Radiology Physician	1016923	MA
6	2085R0202X	Diagnostic Radiology Physician	04-33832	KS
7	2085N0700X	Neuroradiology Physician	26108	NE
8	2085R0202X	Diagnostic Radiology Physician	4301072396	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1639161847	OTHER	KS	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	TY223	OTHER	FL	HF MA
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639161847
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARISH K PANICKER MD

Provider Business Mailing Address
First Line	:	1303 SW FIRST AMERICAN PL
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66604-4059
Country	:	US
Telephone Number	:	785-234-2306
Fax Number	:	785-234-2550

Provider Business Practice Location Address
First Line	:	5301 S CONGRESS AVE
Second Line	:
City	:	ATLANTIS
State	:	FL
Zip	:	33462-1149
Country	:	US
Telephone Number	:	561-965-7300
Fax Number	:	855-326-7147

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	03/09/2026

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Directions to “ HARISH K PANICKER MD” Practice Location

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