MEDICARE: DR. PANCHAJANYA PAUL 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	2084P0800X	Psychiatry Physician	069419	GA

General Provider Information

NPI Number	:	1356664007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PANCHAJANYA PAUL MD

Provider Business Mailing Address
First Line	:	3070 WINDWARD PLZ # F345
Second Line	:
City	:	ALPHARETTA
State	:	GA
Zip	:	30005-8771
Country	:	US
Telephone Number	:	678-250-8883
Fax Number	:	678-916-6619

Provider Business Practice Location Address
First Line	:	6667 VERNON WOODS DR STE B20
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30328-3216
Country	:	US
Telephone Number	:	678-250-8883
Fax Number	:	678-916-6619

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

Provider Enumeration Date	:	03/09/2010
Last Update Date	:	03/10/2025

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