Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | MD426569 | PA |
Y | 207RH0003X | Hematology & Oncology | MD426569 | PA |
N | 207RX0202X | Medical Oncology | MD426569 | PA |
NPI | 1194991208 |
---|---|
Provider Name | Dr. Rajiv P. Panikkar |
First Address | Danville, PA 17822-3034 |
Second Address | Danville, PA 17822-2001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2008 |
Last Update Date | 05/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I11735 | (02) |