Provider Demographics
NPI:1932376183
Name:PHYSICIANS ALLIANCE CORP
Entity Type:Organization
Organization Name:PHYSICIANS ALLIANCE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VRAJ
Authorized Official - Middle Name:
Authorized Official - Last Name:PANARA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-862-4500
Mailing Address - Street 1:220 N WESTMONTE DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-3310
Mailing Address - Country:US
Mailing Address - Phone:407-862-4500
Mailing Address - Fax:407-862-1173
Practice Address - Street 1:220 N WESTMONTE DR
Practice Address - Street 2:SUITE B
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-3310
Practice Address - Country:US
Practice Address - Phone:407-862-4500
Practice Address - Fax:407-862-1173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-15
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty