MEDICARE: VICTORIA E PANELLI-RAMERY 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	207RH0003X	Hematology & Oncology Physician	24025	LA
2	207R00000X	Internal Medicine Physician	24025	LA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	900004234	OTHER	LA	RAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1467440891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA E PANELLI-RAMERY MD

Provider Business Mailing Address
First Line	:	1211 COOLIDGE BLVD
Second Line	:	SUITE B
City	:	LAFAYETTE
State	:	LA
Zip	:	70503-2636
Country	:	US
Telephone Number	:	337-289-8400
Fax Number	:	337-289-8401

Provider Business Practice Location Address
First Line	:	1211 COOLIDGE BLVD
Second Line	:	SUITE100
City	:	LAFAYETTE
State	:	LA
Zip	:	70503-2636
Country	:	US
Telephone Number	:	337-289-8400
Fax Number	:	337-289-8401

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

Provider Enumeration Date	:	10/10/2005
Last Update Date	:	03/13/2020

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Directions to “ VICTORIA E PANELLI-RAMERY MD” Practice Location

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