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NPI Code Detail

MEDICARE: FERDINAND G PAMPOLINA MD

MEDICARE:   FERDINAND G PAMPOLINA  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 Physician04-39409KS
2207R00000XInternal Medicine Physician2005013269MO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3068002419OTHERKSMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15968832OTHERCIGNA
21427729OTHERAETNA
41844371OTHERUNITED HEALTH CARE
535360031OTHERBCBS
61912909052OTHERTRICARE
71912909052OTHERCOVENTRY

General Provider Information

NPI Number : 1912909052
Entity Type Code : Individual
Provider Name (Legal Business Name) : FERDINAND G PAMPOLINA MD
Provider Business Mailing Address
First Line : 901 SW GARFIELD AVE
Second Line :
City : TOPEKA
State : KS
Zip : 66606-1670
Country : US
Telephone Number : 785-354-9591
Fax Number : 785-368-0730
Provider Business Practice Location Address
First Line : 901 SW GARFIELD AVE
Second Line :
City : TOPEKA
State : KS
Zip : 66606-1670
Country : US
Telephone Number : 785-354-9591
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 10/18/2023

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Directions to “ FERDINAND G PAMPOLINA MD” Practice Location

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