Provider Demographics
NPI:1568687499
Name:PANJWANI, SALIMA (PA)
Entity Type:Individual
Prefix:
First Name:SALIMA
Middle Name:
Last Name:PANJWANI
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:SALIMA
Other - Middle Name:
Other - Last Name:MERANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:12414 TOEPPERWEIN RD
Mailing Address - Street 2:
Mailing Address - City:LIVE OAK
Mailing Address - State:TX
Mailing Address - Zip Code:78233-3230
Mailing Address - Country:US
Mailing Address - Phone:210-654-7200
Mailing Address - Fax:210-654-7211
Practice Address - Street 1:12414 TOEPPERWEIN RD
Practice Address - Street 2:
Practice Address - City:LIVE OAK
Practice Address - State:TX
Practice Address - Zip Code:78233-3230
Practice Address - Country:US
Practice Address - Phone:210-654-7200
Practice Address - Fax:210-654-7211
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2009-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA05128363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical