Individual provider · Type 1 NPI

Pavalan Panneer Selvam, MBBS

Clinical Genetics (M.D.) Physician · Jacksonville, FL

NPI number 1891445169 Active

Practice location

4500 San Pablo Rd S
Jacksonville, FL 32224-1865

Mailing address

PO Box 860912
Minneapolis, MN 55486-0912

Other practice locations

  • 295 S Chipeta Way Rm 2W245, Salt Lake City, UT 84108-1287 · (801) 581-2121

Specialties and licenses

TaxonomyCodeLicense
Clinical Genetics (M.D.) Physician 207SG0201X13521401-1205 (UT)
Pediatrics Physician 208000000X13521401-1205 (UT)
Clinical Genetics (M.D.) Physician Primary 207SG0201XME179558 (FL)

Clinical Genetics (M.D.) Physician: A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

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About NPI 1891445169

Pavalan Panneer Selvam, MBBS's National Provider Identifier is 1891445169, issued on Mar 28, 2022. The primary taxonomy on file is Clinical Genetics (M.D.) Physician (207SG0201X), and the practice location is in Jacksonville, FL. The record was last updated on Aug 19, 2026.