Organization Active NPI

Panara Medical Group, Inc.

  • Internal Medicine Physician
  • Maitland, FL
National Provider Identifier
1386838738
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0061625 Issued in FL
Legal business name
PANARA MEDICAL GROUP, INC.
Practice address
1907 Belford CT
Maitland, FL 32751-4210
Phone
(407) 252-7486
NPI assigned
Aug 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Authorized official

Name
Dr. Vraj Panara, M.D.
Title
President
Phone
(407) 252-7486

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME0061625 FL Primary

Addresses

Primary practice location

1907 Belford CT
Maitland, FL 32751-4210

Mailing address

1907 Belford CT
Maitland, FL 32751-4210
Phone (407) 252-7486

Other identifiers 1

IdentifierTypeStateIssuer
253147000MedicaidFL

Other names 1

  • Vraj Panara M.D., P.A. Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1386838738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 BELFORD CT",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514210",
            "telephone_number": "407-252-7486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 BELFORD CT",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514210",
            "telephone_number": "407-252-7486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANARA MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "PANARA",
        "authorized_official_first_name": "VRAJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-252-7486",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0061625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253147000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vraj Panara M.D., P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.