Dr Pavalan Panneer Selvam, MBBS is a medicare enrolled "Medical Genetics - Clinical Genetics (m.d.)" physician in Salt Lake City, Utah. His current practice location is
295 S Chipeta Way Rm 2w245, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 581-2121.
Dr Pavalan Panneer Selvam is licensed to practice in Utah (license number 13521401-1205) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1891445169.
Physician's Profile
| Full Name | Dr Pavalan Panneer Selvam |
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| Gender | Male |
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| Speciality | Medical Genetics - Clinical Genetics (m.d.) |
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| Location | 295 S Chipeta Way Rm 2w245, Salt Lake City, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1891445169
- Provider Enumeration Date: 03/28/2022
- Last Update Date: 08/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 4880057991
- Enrollment ID: I20230822003667
Medical Identifiers
Medical identifiers for Dr Pavalan Panneer Selvam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891445169 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 13521401-1205 (Utah) | Secondary |
| 207SG0201X | Medical Genetics - Clinical Genetics (m.d.) | 13521401-1205 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Pavalan Panneer Selvam is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Pavalan Panneer Selvam, MBBS
295 S Chipeta Way Rm 2w245,
Salt Lake City, UT 84108-1287
Ph: (801) 581-2121 | Dr Pavalan Panneer Selvam, MBBS
295 S Chipeta Way Rm 2w245,
Salt Lake City, UT 84108-1287
Ph: (801) 581-2121 |
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