MEDICARE: KSHAMAYA PANCHAMUKHI MD PA

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	207RC0000X	Cardiovascular Disease Physician	ME105527	FL

General Provider Information

NPI Number	:	1952746273
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KSHAMAYA PANCHAMUKHI MD PA

Provider Business Mailing Address
First Line	:	6039 COLLINS AVE
Second Line	:	1711
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-2203
Country	:	US
Telephone Number	:	305-202-3349
Fax Number	:

Provider Business Practice Location Address
First Line	:	6039 COLLINS AVE
Second Line	:	1711
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-2203
Country	:	US
Telephone Number	:	305-202-3349
Fax Number	:

Authorized Official
Title or Position	:	OFFICER
Name	:	KSHAMAYA B PANCHAMUKHI
Credential	:	MD
Telephone Number	:	305-202-3349

Provider Enumeration Date	:	04/30/2013
Last Update Date	:	04/30/2013

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1598023624 — GISELLE OJEDA DPM PA
Practice Location Address:

6039 COLLINS AVE , 311
MIAMI BEACH, FL
33140-2203

Practice Phone: 786-259-7408
Practice Fax:

1508258963 — CIBELE INC
Practice Location Address:

6039 COLLINS AVE , APT 115
MIAMI BEACH, FL
33140-2203

Practice Phone: 713-542-4522
Practice Fax:

1467380758 — AMANDA GRIECO
Practice Location Address:

2601 SW 24TH AVE UNIT 2
MIAMI, FL
33133-2203

Practice Phone: 908-809-5495
Practice Fax:

1346220035 — DR. SHAWN EDWARD GOUGH-FIBKINS MD
Practice Location Address:

9824 SW 133RD CT
MIAMI, FL
33186-2203

Practice Phone: 305-382-4378
Practice Fax:

1669432852 — FATIMA HOME CARE, INC.
Practice Location Address:

1454 SW 1ST ST , SUITE 120
MIAMI, FL
33135-2203

Practice Phone: 305-631-0029
Practice Fax: 305-541-9245

Directions to “KSHAMAYA PANCHAMUKHI MD PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.