Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MD468176 | PA |
Y | 111NI0900X | Internist | MD468176 | PA |
NPI | 1003260274 |
---|---|
Provider Name | Ankur Panchal |
First Address | New Castle, PA 16105-2516 |
Second Address | New Castle, PA 16105-2516 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2016 |
Last Update Date | 24/05/2021 |