Fouad Panah, M.D

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A29845 Issued in CA

Practice address

22802 Channel VW
Laguna Niguel, CA 92677-5416

Phone

(949) 436-0717

NPI assigned

Mar 31, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1851563878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22802 CHANNEL VW",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775416",
            "telephone_number": "949-436-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22802 CHANNEL VW",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775416",
            "telephone_number": "949-436-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANAH",
        "first_name": "FOUAD",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A29845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.