Provider Demographics
NPI:1467440891
Name:PANELLI-RAMERY, VICTORIA E (MD)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:E
Last Name:PANELLI-RAMERY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1211 COOLIDGE BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-2636
Mailing Address - Country:US
Mailing Address - Phone:337-289-8400
Mailing Address - Fax:337-289-8401
Practice Address - Street 1:1211 COOLIDGE BLVD
Practice Address - Street 2:SUITE100
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2636
Practice Address - Country:US
Practice Address - Phone:337-289-8400
Practice Address - Fax:337-289-8401
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA24025207RH0003X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA900004234OtherRAILROAD MEDICARE
LA1481068Medicaid
H68204Medicare UPIN
LA1481068Medicaid