PAVALAN PANNEER SELVAM

SALT LAKE CITY, UT
NPI1891445169
Professional NamePAVALAN PANNEER SELVAM
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207SG0201X Medical Genetics Clinical Genetics (M.D.)
(Licence: UT  13521401-1205)
Additional Taxonomies208000000X Pediatrics
(Licence: UT  13521401-1205)
Enumeration Date2022-03-28
Last Update Date2023-08-03
Business Address
DR. PAVALAN PANNEER SELVAM MBBS
295 S CHIPETA WAY RM 2W245
SALT LAKE CITY, UT 84108-1287
Phone number: 801-581-2121
Mailing Address
DR. PAVALAN PANNEER SELVAM MBBS
295 S CHIPETA WAY RM 2W245
SALT LAKE CITY, UT 84108-1287
Phone number: 801-581-2121