Provider Demographics
NPI:1366443665
Name:PANICKER, JYOTI (MD)
Entity Type:Individual
Prefix:DR
First Name:JYOTI
Middle Name:
Last Name:PANICKER
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Gender:F
Credentials:MD
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Mailing Address - Street 1:3901 RAINBOW BLVD
Mailing Address - Street 2:THE UNIVERISTY OF KANSAS MEDICAL CENTER, MS 2013
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160
Mailing Address - Country:US
Mailing Address - Phone:913-588-6340
Mailing Address - Fax:913-588-2245
Practice Address - Street 1:3901 RAINBOW BLVD
Practice Address - Street 2:THE UNIVERISTY OF KANSAS MEDICAL CENTER, MS 2013
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160
Practice Address - Country:US
Practice Address - Phone:913-588-6340
Practice Address - Fax:913-588-2245
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2012-03-19
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Provider Licenses
StateLicense IDTaxonomies
KS04-339832080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology