Doctor Name: | THOMAS EDWARD PANICO |
NPI Number: | 1134446743 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 20882 |
Business Practice Address: | 4213 Lakeland Drive Flowood, MS - 392329212 |
Business Phone Number: | 6014202353 |
Business Fax Number: | |
Mailing Address: | 4213 Lakeland Dr, FLOWOOD |
State: | MS |
Postal Code: | 392329212 |
Phone Number: | 6014202353 |
Fax Number: | |
NPI Enumeration Date: | 04/23/2010 |
NPI Last Update Date: | 04/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 20882 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |