Provider Demographics
NPI:1841524469
Name:PANCHAMUKHI, KSHAMAYA BADARINARAYAN (MD)
Entity type:Individual
Prefix:DR
First Name:KSHAMAYA
Middle Name:BADARINARAYAN
Last Name:PANCHAMUKHI
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Gender:F
Credentials:MD
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Mailing Address - Street 1:5838 COLLINS AVE APT 8G
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2230
Mailing Address - Country:US
Mailing Address - Phone:786-423-4894
Mailing Address - Fax:305-864-5183
Practice Address - Street 1:4300 ALTON RD
Practice Address - Street 2:MOUNT SINAI MEDICAL CENTER, DEPT OF INTERNAL MEDICINE
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2800
Practice Address - Country:US
Practice Address - Phone:305-674-2413
Practice Address - Fax:305-674-2430
Is Sole Proprietor?:No
Enumeration Date:2009-09-29
Last Update Date:2009-09-29
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Provider Licenses
StateLicense IDTaxonomies
FLME105527207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine