Provider Demographics
NPI:1093772790
Name:PANAL, RAMONITO HUEVOS (MD)
Entity Type:Individual
Prefix:
First Name:RAMONITO
Middle Name:HUEVOS
Last Name:PANAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3543 W 13TH ST
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-9110
Mailing Address - Country:US
Mailing Address - Phone:928-782-0454
Mailing Address - Fax:
Practice Address - Street 1:2555 E GILA RIDGE RD
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85365-2240
Practice Address - Country:US
Practice Address - Phone:928-317-3371
Practice Address - Fax:928-317-3380
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ29983207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine