Panacea Physician Partners PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

42112 Issued in AZ

Legal business name

PANACEA PHYSICIAN PARTNERS PLLC

Practice address

77 Calle Portal Ste B260A
Sierra Vista, AZ 85635-2998

Phone

(520) 226-4338

Fax

(866) 337-8432

NPI assigned

Dec 12, 2015

Organization subpart

No

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

Authorized official

Name

Dipak Babu K C, MD

Title

Sole Member

Phone

(520) 226-4338

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1449878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1891160131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CALLE PORTAL STE B260A",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CALLE PORTAL STE B260A",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352998",
            "telephone_number": "520-226-4338",
            "fax_number": "866-337-8432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANACEA PHYSICIAN PARTNERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-12",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "K C",
        "authorized_official_first_name": "DIPAK",
        "authorized_official_middle_name": "BABU",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "520-226-4338",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "42112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dionne Owin, LAC
• Christina Lynne Pace, D.D.S.
• Carlos Isaac Pacheco Cano, MD
• Jacob Garrison Palmer, PHARMD.
• Ariel Sharon Palter, FNP-C, RN
• Pantano Behavioral Health Services, Inc
• Papago Medical, PC
• Brenda R Parker, LPC
• Matthew Parker, DO
• Laurie Parks

• Internal Medicine Physician in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.