Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | ME81627 | FL |
NPI | 1013909373 |
---|---|
Provider Name | Dr. Hardeo Karamchand Panchoosingh |
First Address | Tampa, FL 33634-6344 |
Second Address | Tampa, FL 33607-6307 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2005 |
Last Update Date | 17/06/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002561100 | (05) | FL |
631764 | (05) | AZ |
H27065 | (02) |