| S Pannu Inc | |
|
1800 Spring Ridge Dr Susanville CA 96130-6100 | |
| (530) 252-2000 | |
| Not Available |
| Full Name | S Pannu Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1800 Spring Ridge Dr, Susanville, California |
| Authorized Official Name and Position | Lori A Labrecque (ACCTS. MGR) |
| Authorized Official Contact | 7024533799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S Pannu Inc 10624 S Eastern Ave Suite 263 Henderson NV 89052-2982 Ph: (702) 597-1597 | S Pannu Inc 1800 Spring Ridge Dr Susanville CA 96130-6100 Ph: (530) 252-2000 |
| NPI Number | 1407987522 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 06/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407987522 | NPI | - | NPPES |
| A56442 | Other | CA | MEDICAL LIC |
| 002018039 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 8682 (Nevada) | Primary |
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