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NPI Code Detail

MEDICARE: DR. PANKAJ GUGNANI M.D.

MEDICARE: DR. PANKAJ GUGNANI 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
1207Q00000XFamily Medicine Physician04-30826KS
2207Q00000XFamily Medicine Physician33529OK
3208M00000XHospitalist Physician04-30826KS

General Provider Information

NPI Number : 1386625903
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PANKAJ GUGNANI M.D.
Provider Business Mailing Address
First Line : PO BOX 1832
Second Line :
City : PITTSBURG
State : KS
Zip : 66762-1832
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2322 S MAIN ST
Second Line :
City : FORT SCOTT
State : KS
Zip : 66701-3026
Country : US
Telephone Number : 888-777-9170
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2005
Last Update Date : 09/11/2025

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