Roberto P Panis Md Pc | |
2352 Philmont Ave Huntingdon Valley PA 19006-6228 | |
(215) 947-4574 | |
(215) 947-0904 |
Full Name | Roberto P Panis Md Pc |
---|---|
Speciality | Internal Medicine |
Location | 2352 Philmont Ave, Huntingdon Valley, Pennsylvania |
Authorized Official Name and Position | Roberto Panis (PRESIDENT) |
Authorized Official Contact | 2159474574 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Roberto P Panis Md Pc 2352 Philmont Ave Huntingdon Valley PA 19006-6228 Ph: (215) 947-4574 | Roberto P Panis Md Pc 2352 Philmont Ave Huntingdon Valley PA 19006-6228 Ph: (215) 947-4574 |
NPI Number | 1366599292 |
---|---|
Provider Enumeration Date | 01/04/2007 |
Last Update Date | 02/12/2013 |
Medicare PECOS PAC ID | 5890765036 |
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Medicare Enrollment ID | O20111208000532 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366599292 | NPI | - | NPPES |
001415714 | Other | PA | INDEPENDENCE BLUE CROSS |
1415714 | Other | PA | BLUE SHIELD |
2102236001 | Other | PA | KEYSTONE HEALTH PLAN EAST |
11509062 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Roberto Panis |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346301801 PECOS PAC ID: 6901071646 Enrollment ID: I20111208000691 |
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