Active NPI
Daud Panah, MD, P.C.
- Psychiatry Physician
- Atlantic City, NJ
National Provider Identifier
1205025533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25MA07612200
- Legal business name
- DAUD PANAH, MD, P.C.
- Practice address
- 1125 Pacific Ave
Suite 105
Atlantic City, NJ 08401-7319 - Phone
- (609) 340-8200
- NPI assigned
- Oct 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daud Panah, MD
- Title
- Owner
- Phone
- (609) 340-8200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25MA07612200 | NJ | Primary |
Addresses
Primary practice location
1125 Pacific Ave
Suite 105
Atlantic City, NJ 08401-7319
Mailing address
1125 Pacific Ave
Suite 105
Atlantic City, NJ 08401-7319
Phone (609) 340-8200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1125 Pacific Ave
Ste 105
Atlantic City, NJ 08401
Phone (609) 340-8200
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Marlton, NJ
- NPI 1831239649
-
- Nutrition Education Nutritionist
- Atlantic City, NJ
- NPI 1770946501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196640000000",
"number": "1205025533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 PACIFIC AVE",
"address_2": "SUITE 105",
"city": "ATLANTIC CITY",
"state": "NJ",
"postal_code": "084017319",
"telephone_number": "609-340-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 PACIFIC AVE",
"address_2": "SUITE 105",
"city": "ATLANTIC CITY",
"state": "NJ",
"postal_code": "084017319",
"telephone_number": "609-340-8200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAUD PANAH, MD, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-23",
"last_updated": "2007-12-03",
"status": "A",
"authorized_official_last_name": "PANAH",
"authorized_official_first_name": "DAUD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "609-340-8200",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA07612200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlantic City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.