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NPI Code Detail

MEDICARE: RAGESH PANIKKATH M.D.

MEDICARE: RAGESH PANIKKATH M.D.
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
1207RC0001XClinical Cardiac Electrophysiology Physician59548AZ
2207RC0001XClinical Cardiac Electrophysiology PhysicianA161106CA

General Provider Information

NPI Number : 1275828113
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAGESH PANIKKATH M.D.
Provider Business Mailing Address
First Line : 1304 ELLA ST STE A
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93401-4165
Country : US
Telephone Number : 805-549-9555
Fax Number : 805-549-0444
Provider Business Practice Location Address
First Line : 1304 ELLA ST STE A
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93401-4165
Country : US
Telephone Number : 805-549-9555
Fax Number : 805-549-0444
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2011
Last Update Date : 05/29/2024

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Directions to “ RAGESH PANIKKATH M.D.” Practice Location

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