Sidak Pannu, MD | |
3500 Main St Ste 201, Springfield, MA 01107-1150 | |
(413) 794-0900 | |
(413) 794-2996 |
Full Name | Sidak Pannu |
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Gender | Male |
Speciality | Radiology - Vascular & Interventional Radiology |
Location | 3500 Main St Ste 201, Springfield, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326402728 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 22677 (New Hampshire) | Secondary |
2085R0204X | Radiology - Vascular & Interventional Radiology | 1014931 (Massachusetts) | Primary |
Entity Name | Dartmouth-hitchcock Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548210198 PECOS PAC ID: 4183537509 Enrollment ID: O20040809000442 |
Mailing Address | Practice Location Address |
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Sidak Pannu, MD 280 Chestnut Street, 2nd Floor, Springfield, MA 01199-1001 Ph: (413) 794-5700 | Sidak Pannu, MD 3500 Main St Ste 201, Springfield, MA 01107-1150 Ph: (413) 794-0900 |
Laurie E Gianturco, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1350 Main St Ste 1007, Springfield, MA 01103 Phone: 413-827-7400 Fax: 413-827-7407 | |
Linda Esther Bornstein, MD Radiology Medicare: Medicare Enrolled Practice Location: 3350 Main St, Springfield, MA 01107 Phone: 413-794-9175 Fax: 413-794-5153 | |
Christopher Badalucco, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 759 Chestnut St, Springfield, MA 01107 Phone: 413-827-7400 | |
Christopher C Moore, MD, PH.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 759 Chestnut St, Radiology Department, Springfield, MA 01107 Phone: 413-827-7426 Fax: 413-827-7407 | |
Dr. Thomas Joseph Anderson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1350 Main St Ste 1007, Springfield, MA 01103 Phone: 413-827-7400 | |
Dr. Jason L. Port, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3640 Main St, Suite 101, Springfield, MA 01107 Phone: 413-781-9000 Fax: 413-781-7988 | |
Michael E. Swirsky, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 759 Chestnut St, Radiology Department, Springfield, MA 01107 Phone: 413-827-7426 Fax: 413-827-7407 |