Provider Demographics
NPI:1275680654
Name:PANEK, KAREN MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:MARIE
Last Name:PANEK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3200 BELL RD
Mailing Address - Street 2:UCDAVIS FAMILY PRACTICE
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95603-9244
Mailing Address - Country:US
Mailing Address - Phone:530-888-7616
Mailing Address - Fax:530-886-5947
Practice Address - Street 1:3200 BELL RD
Practice Address - Street 2:UCDAVIS FAMILY PRACTICE
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-9244
Practice Address - Country:US
Practice Address - Phone:530-888-7616
Practice Address - Fax:530-886-5947
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2014-09-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA89261207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine