PRANAV KUMAR PANCHATSHARAM

FORT WAYNE, IN
NPI1851957526
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208800000X Urology
(Licence: IN  02007800A)
Enumeration Date2019-05-17
Last Update Date2024-10-03
Business Address
DR. PRANAV KUMAR PANCHATSHARAM DO
800 BROADWAY STE 200
FORT WAYNE, IN 46802-2149
Phone number: 260-458-3410
Mailing Address
DR. PRANAV KUMAR PANCHATSHARAM DO
6920 POINTE INVERNESS WAY STE 200
FORT WAYNE, IN 46804-7934
Phone number: 260-458-3410
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