Provider Demographics
NPI:1407080849
Name:PANARA, RAMIT (MD)
Entity Type:Individual
Prefix:
First Name:RAMIT
Middle Name:
Last Name:PANARA
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 1:755 STIRLING CENTER PL
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-5714
Mailing Address - Country:US
Mailing Address - Phone:407-333-1718
Mailing Address - Fax:407-333-1633
Practice Address - Street 1:755 STIRLING CENTER PL
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-5714
Practice Address - Country:US
Practice Address - Phone:407-333-1718
Practice Address - Fax:407-333-1633
Is Sole Proprietor?:No
Enumeration Date:2009-05-13
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY2663282084N0400X
FLME115969174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology