Dr. Luiz C Pantalena Filho
Dermatologist MOHS-Micrographic Surgeon
1815 E Ireland Rd
South Bend
, Indiana 46614
Dr. Luiz C Pantalena Filho
Dermatologist MOHS-Micrographic Surgeon
1815 E Ireland Rd
South Bend
, Indiana 46614
(574) 237-6069
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Luiz C Pantalena Filho
- 710 N Niles Ave
- South Bend, IN
- Zip : 46617-1924
- Fax : (574) 237-6069
- Phone : (574) 647-1610
Second Address
- Dr. Luiz C Pantalena Filho
- 1815 E Ireland Rd
- South Bend, IN
- Zip : 46614
- Fax : (574) 647-7572
- Phone : (574) 647-1700
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FAQs
Where did Dr. Luiz C Pantalena Filho attend graduate school?
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Is Dr. Luiz C Pantalena Filho a sole practitioner?
Is Dr. Luiz C Pantalena Filho accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 01073773A | IN |
| N | 207ND0101X | MOHS-Micrographic Surgeon | 01073773A | IN |
National Provider Identifier
| NPI | 1225321722 |
|---|---|
| Provider Name | Dr. Luiz C Pantalena Filho |
| First Address | South Bend, IN 46617-1924 |
| Second Address | South Bend, IN 46614 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2011 |
| Last Update Date | 31/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 169380024 | MEDICARE PTAN (01) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.