Sukhbir S Pannu, MD | |
1800 Spring Ridge Dr, Susanville, CA 96130-6100 | |
(530) 252-2000 | |
Not Available |
Full Name | Sukhbir S Pannu |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 1800 Spring Ridge Dr, Susanville, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538121967 | NPI | - | NPPES |
002018039 | Medicaid | NV | |
A56442 | Other | CA | MEDICAL LIC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 8682 (Nevada) | Primary |
Entity Name | Rural Physicians Group-pannu Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891236584 PECOS PAC ID: 0345467486 Enrollment ID: O20170501002251 |
Mailing Address | Practice Location Address |
---|---|
Sukhbir S Pannu, MD 10624 S Eastern Ave, Ste 263, Henderson, NV 89052-2982 Ph: (702) 204-7747 | Sukhbir S Pannu, MD 1800 Spring Ridge Dr, Susanville, CA 96130-6100 Ph: (530) 252-2000 |
Fuad Kuliyev, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 Spring Ridge Dr, Susanville, CA 96130 Phone: 530-252-2000 | |
Granville H Marshall Jr., M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 170 Russell Ave, Susanville, CA 96130 Phone: 530-313-5529 Fax: 530-387-3581 | |
Matthew Stephen Mccarty, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 Spring Ridge Dr, Susanville, CA 96130 Phone: 702-453-3799 Fax: 702-453-5741 |