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NPI Code Detail

MEDICARE: MISS KRISHA SANJAY PANCHAMIA

MEDICARE:  MISS KRISHA SANJAY PANCHAMIA
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
1225100000XPhysical TherapistPT44522FL

General Provider Information

NPI Number : 1881529527
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS KRISHA SANJAY PANCHAMIA
Provider Business Mailing Address
First Line : 1531 W LEMON ST APT 3403
Second Line :
City : TAMPA
State : FL
Zip : 33606-1044
Country : US
Telephone Number : 813-520-0323
Fax Number :
Provider Business Practice Location Address
First Line : 3416 S DALE MABRY HWY
Second Line :
City : TAMPA
State : FL
Zip : 33629-8639
Country : US
Telephone Number : 773-882-4833
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2026
Last Update Date : 06/15/2026

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Directions to “ MISS KRISHA SANJAY PANCHAMIA ” Practice Location

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