Provider Demographics
NPI:1578899027
Name:PANCHABHAI, TANMAY SHASHANK (MD)
Entity Type:Individual
Prefix:DR
First Name:TANMAY
Middle Name:SHASHANK
Last Name:PANCHABHAI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:11100 EUCLID AVE FL BOLWELL6
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-1716
Mailing Address - Country:US
Mailing Address - Phone:216-844-8500
Mailing Address - Fax:216-844-8708
Practice Address - Street 1:11100 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1716
Practice Address - Country:US
Practice Address - Phone:201-684-4850
Practice Address - Fax:602-406-6498
Is Sole Proprietor?:No
Enumeration Date:2009-10-19
Last Update Date:2023-08-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ50558207RP1001X
NY324273207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease