DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LUIZ C PANTALENA FILHO, MD, PHD

Active

DR. LUIZ C PANTALENA FILHO, MD, PHD is a Dermatology healthcare provider located in SOUTH BEND, Indiana. NPI 1225321722 is currently active in the NPPES registry. Verify at CMS.

Dermatology · SOUTH BEND, IN

Registration Details

NPI Number
1225321722
Provider Type
Individual
Gender
Male
NPI Issued
May 17, 2011 (15.22198265376 yrs)
Last Updated
Apr 11, 2025
Licenses
01073773A (IN)
01073773A (IN)

Practice Information

Address
4322 S LAFAYETTE BLVD
SOUTH BEND, IN, 466142518
Browse IN providers · Browse ZIP 46614
Phone
5743911111
Fax
5748595040
Primary Specialty
Dermatology
207N00000X
Additional Specialty
Dermatology

Other Dermatology Providers in SOUTH BEND, IN

Name Credential NPI
DR. CYNTHIA E MAYFIELD MD 1649260233
DR. HOLLY L HAKE-HARRIS MD 1538159207
DR. MARY K HARDER MD 1861482234
LINDA HIGGINBOTHAM MD 1134189053
KATHLEEN KELLEY M.D. 1245626225
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.