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NPI Code Detail

MEDICARE: DR. HARDEO KARAMCHAND PANCHOOSINGH MD

MEDICARE: DR. HARDEO KARAMCHAND PANCHOOSINGH 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
12080P0207XPediatric Hematology & Oncology Physician4579WI
22080P0207XPediatric Hematology & Oncology PhysicianME81627FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013909373
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HARDEO KARAMCHAND PANCHOOSINGH MD
Provider Business Mailing Address
First Line : 92 W MILLER ST
Second Line :
City : ORLANDO
State : FL
Zip : 32806-2032
Country : US
Telephone Number : 321-841-8588
Fax Number : 321-841-8560
Provider Business Practice Location Address
First Line : 92 W MILLER ST
Second Line :
City : ORLANDO
State : FL
Zip : 32806-2032
Country : US
Telephone Number : 321-841-8588
Fax Number : 321-841-8560
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2005
Last Update Date : 10/03/2024

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