Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Pavan Pancholy, MD

Individual provider Psychiatry Physician · NPI 1912197278

Dr. Pavan Pancholy, MD is a Psychiatry in Tampa, Florida. Graduated from University of Florida College of Medicine in 2004, 22 years ago. Practices with Ibis Healthcare Inc, a 25-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and Louisiana.

Years since qualifying
22
Trained at
University of Florida College of Medicine
Licensed in
FL, LA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5707- N 22nd Street Mental Health Care Inc
Tampa, FL 33610-4350
Phone: (813) 272-2878
Fax: (813) 272-3766
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence ME 100620 (FL)
Psychiatry Physician Taxonomy 2084P0800X · Licence MD.200775 (LA)

Record details

NPI number1912197278
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 1, 2007
Last updated in NPPESAugust 5, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Ibis Healthcare Inc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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