Carmen Denise Pannell, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

169868 Issued in NY

Practice address

460 W 150TH St
New York, NY 10031-2707

Phone

(212) 234-6336

NPI assigned

Aug 23, 2005

Reactivated

Apr 4, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267056000000",
    "number": "1154313484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1758",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100271758",
            "telephone_number": "212-234-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 W 150TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100312707",
            "telephone_number": "212-234-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANNELL",
        "first_name": "CARMEN",
        "middle_name": "DENISE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-23",
        "last_updated": "2010-02-25",
        "deactivation_date": "2006-03-27",
        "reactivation_date": "2006-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "169868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02645196",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samira Panjaki, PT, DPT, MST
• Firozali Panjvani
• Wendy J. Panken, LCSW
• Olga S Pankiv
• Alexis Pankow, M.D.
• Richard Wingate Pannell, DPM
• Michelle Lee Pannella, MPT
• Nicholas Pannitto, CNP
• Arashleen K Pannu, MD
• Harpreet Kaur Pannu, M.D.

• Diagnostic Radiology Physician in New York, NY
• Providers in New York, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.