| Rural Physicians Group-pannu Pllc | |
|
5575 Dtc Pkwy Ste 225 Greenwood Village CO 80111-3073 | |
| (303) 390-1924 | |
| (866) 368-6349 |
| Full Name | Rural Physicians Group-pannu Pllc |
|---|---|
| Speciality | Hospitalist |
| Location | 5575 Dtc Pkwy Ste 225, Greenwood Village, Colorado |
| Authorized Official Name and Position | Sukhbir S Pannu (OWNER) |
| Authorized Official Contact | 7022047747 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rural Physicians Group-pannu Pllc 10624 S Eastern Ave Ste A-263 Henderson NV 89052-2982 Ph: (702) 453-3799 | Rural Physicians Group-pannu Pllc 5575 Dtc Pkwy Ste 225 Greenwood Village CO 80111-3073 Ph: (303) 390-1924 |
| NPI Number | 1861808719 |
|---|---|
| Provider Enumeration Date | 07/10/2014 |
| Last Update Date | 12/14/2020 |
| Medicare PECOS PAC ID | 0345467486 |
|---|---|
| Medicare Enrollment ID | O20140813000673 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861808719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
| Provider Name | Kevin S Owens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235332305 PECOS PAC ID: 6709977747 Enrollment ID: I20090623000745 |
| Provider Name | Justin G Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851612600 PECOS PAC ID: 5890962195 Enrollment ID: I20140827003014 |
| Provider Name | Rajesh Mali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083877575 PECOS PAC ID: 3375667462 Enrollment ID: I20181005002180 |
| Provider Name | William Brandenburg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619325180 PECOS PAC ID: 7416240262 Enrollment ID: I20190611003810 |
| Provider Name | Megan M Sandmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255789103 PECOS PAC ID: 3072806801 Enrollment ID: I20190828002843 |
| Provider Name | Lance Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477936862 PECOS PAC ID: 2769797703 Enrollment ID: I20190903001647 |
| Provider Name | Chidinma Nwachukwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043662695 PECOS PAC ID: 2668809682 Enrollment ID: I20200303001628 |
| Provider Name | Ryan Michael Wells |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710997200 PECOS PAC ID: 8224309612 Enrollment ID: I20210906000015 |
| Provider Name | Jessica Cicoria |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093205213 PECOS PAC ID: 2365790128 Enrollment ID: I20230630001597 |
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