Athmaram, Pancharathna K

Athmaram, Pancharathna K is an sole proprietor health care provider with primary practice located at 661 Park Ave E Suite A, Mansfield OH 44905-2880. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Athmaram, Pancharathna K can be contacted via phone (419) 526-3999.

Contact Information

Primary practice address
661 Park Ave E Suite A Mansfield OH 44905-2880
Phone: (419) 526-3999
Fax: (419) 526-1137
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35051805 Ohio

Profile Details

NPI number 1164416210
LBN Legal business name Athmaram, Pancharathna K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2005
Last updated Oct 21st, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164416210 NPPES
Ohio MEDICAID 0585424
Ohio Other 110188865

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