Panthangi, Veena

Panthangi, Veena is an individual health care provider with primary practice located at 21099 Masonic Blvd , Saint Clair Shores MI 48082-1045. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Panthangi, Veena can be contacted via phone (586) 296-6213.

Contact Information

Primary practice address
21099 Masonic Blvd Saint Clair Shores MI 48082-1045
Phone: (586) 296-6213
Fax: (586) 286-8180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301081639 Michigan
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 4301081639 Michigan

Profile Details

NPI number 1467571463
LBN Legal business name Panthangi, Veena
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Mar 26th, 2012 - about 14 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 1467571463 NPPES
Michigan MEDICAID 5186442
Michigan Other VP081639
Michigan Other 700E011730
Michigan Other 700E031610

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