| Daud Panah, Md, P.c. | |
|
1125 Pacific Ave Suite 105 Atlantic City NJ 08401-7319 | |
| (609) 340-8200 | |
| Not Available |
| Full Name | Daud Panah, Md, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1125 Pacific Ave, Atlantic City, New Jersey |
| Authorized Official Name and Position | Daud Panah (OWNER) |
| Authorized Official Contact | 6093408200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daud Panah, Md, P.c. 1125 Pacific Ave Suite 105 Atlantic City NJ 08401-7319 Ph: (609) 340-8200 | Daud Panah, Md, P.c. 1125 Pacific Ave Suite 105 Atlantic City NJ 08401-7319 Ph: (609) 340-8200 |
| NPI Number | 1205025533 |
|---|---|
| Provider Enumeration Date | 10/23/2007 |
| Last Update Date | 12/03/2007 |
| Medicare PECOS PAC ID | 8527155753 |
|---|---|
| Medicare Enrollment ID | O20071103000133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205025533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 25MA07612200 (New Jersey) | Primary |
| Provider Name | Daud Mohamm Panah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831239649 PECOS PAC ID: 0547254484 Enrollment ID: I20071103000115 |
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