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NPI Code Detail

MEDICARE: PAUL PANAVELIL MD

MEDICARE: PAUL PANAVELIL 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
1207R00000XInternal Medicine PhysicianD0042372MD

General Provider Information

NPI Number : 1730192998
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL PANAVELIL MD
Provider Business Mailing Address
First Line : 8116 GOOD LUCK RD
Second Line : STE 305
City : LANHAM
State : MD
Zip : 20706-3502
Country : US
Telephone Number : 301-552-1200
Fax Number :
Provider Business Practice Location Address
First Line : 5801 ALLENTOWN RD STE 400
Second Line :
City : CAMP SPRINGS
State : MD
Zip : 20746-4585
Country : US
Telephone Number : 301-868-0150
Fax Number : 301-868-0243
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2006
Last Update Date : 07/21/2022

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Directions to “ PAUL PANAVELIL MD” Practice Location

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