Dhiraj Panda, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MA 40024 Issued in NJ

Practice address

528 Lippincott Drive
Marlton, NJ 08053

Phone

(856) 596-6100

Fax

(856) 596-7507

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dhiraj K Panda Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710090105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 LIPPINCOTT DRIVE",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-596-6100",
            "fax_number": "856-596-7507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 LIPPINCOTT DRIVE",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-596-6100",
            "fax_number": "856-596-7507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDA",
        "first_name": "DHIRAJ",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "MA 40024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DHIRAJ",
            "last_name": "PANDA",
            "middle_name": "K",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kim Marie Palermo, DO
• Camille Rose Palombo, M.ED, LPC
• Lisa Palovick, CRNA
• Patricia Palumbo, MA LPC
• Daud Panah, MD
• Nicole Panjwani, APN
• Neha Pappireddi, LAC
• Alexandra Nicole Paradise, MS ED
• Haley Parikh, OD
• Jinalben Parikh

• Surgery Physician in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.