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Contact Information

JOYCE R PANGANAMALA, PA
11029 MONTGOMERY RD
CINCINNATI, OH45249-2306
 Phone: 513-891-2211
 Fax: 513-891-2218
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JOYCE R PANGANAMALA · (Female)

NPI # 1639391683
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 05/02/2007
Last updated 11/04/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MA License # AP2134
  • OH License # 50.004010
  • OH License # 50.004010RX
  • OH Medicaid 0462231
  • OH Medicaid 2565399
Hospital affiliation(s)
  • BETHESDA NORTH - (Acute Care)
    10500 MONTGOMERY ROAD
    CINCINNATI, OH 45242
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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