Individual provider Active NPI

Rosamma S Panjikaran, MD

  • Psychiatry Physician
  • Punta Gorda, FL
National Provider Identifier
1265441091
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME038235 Issued in FL
Practice address
350 Mary St
Suite G
Punta Gorda, FL 33950-4564
Phone
(941) 505-0604
Fax
(941) 505-4327
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME038235 FL Primary

Addresses

Primary practice location

350 Mary St
Suite G
Punta Gorda, FL 33950-4564

Mailing address

350 Mary St
Suite G
Punta Gorda, FL 33950-4564
Phone (941) 505-0604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME038235FLMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265441091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 MARY ST",
            "address_2": "SUITE G",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339504564",
            "telephone_number": "941-505-0604",
            "fax_number": "941-505-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 MARY ST",
            "address_2": "SUITE G",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339504564",
            "telephone_number": "941-505-0604",
            "fax_number": "941-505-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANJIKARAN",
        "first_name": "ROSAMMA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME038235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

Verify at the official NPI Registry.