Panchamia, Sidharth
Panchamia, Sidharth is an sole proprietor health care provider with primary practice located at 3140 S Falkenburg Rd Ste 205 , Riverview FL 33578-2594. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Panchamia, Sidharth can be contacted via phone (813) 533-5522.Contact Information
Primary practice address
3140 S Falkenburg Rd Ste 205
Riverview FL 33578-2594
Phone: (813) 533-5522
Fax: (813) 533-5511
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ME 106682 | Florida |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | ME106682 | Florida |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | ME106682 | Florida |
Profile Details
| NPI number | 1275735276 |
|---|---|
| LBN Legal business name | Panchamia, Sidharth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2007 |
| Last updated | Jan 31st, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275735276 | NPPES |
| Florida | Other | P01279725 | RR MEDICARE |
| Florida | MEDICAID | 002684500 | RR MEDICARE |
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