Organization Active NPI

Kshamaya Panchamukhi MD PA

  • Cardiovascular Disease Physician
  • Miami Beach, FL
National Provider Identifier
1952746273
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME105527 Issued in FL
Legal business name
KSHAMAYA PANCHAMUKHI MD PA
Practice address
6039 Collins Ave
1711
Miami Beach, FL 33140-2203
Phone
(305) 202-3349
NPI assigned
Apr 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Authorized official

Name
Kshamaya B Panchamukhi, MD
Title
Officer
Phone
(305) 202-3349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X ME105527 FL Primary

Addresses

Primary practice location

6039 Collins Ave
1711
Miami Beach, FL 33140-2203

Mailing address

6039 Collins Ave
1711
Miami Beach, FL 33140-2203
Phone (305) 202-3349

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1952746273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6039 COLLINS AVE",
            "address_2": "1711",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402203",
            "telephone_number": "305-202-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6039 COLLINS AVE",
            "address_2": "1711",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402203",
            "telephone_number": "305-202-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSHAMAYA PANCHAMUKHI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "PANCHAMUKHI",
        "authorized_official_first_name": "KSHAMAYA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "305-202-3349",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME105527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.